AMBER HENRY (PA) – Physician Assistant, NPI 1821556457

AMBER HENRY (PA) is a healthcare provider. based in Acworth, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for AMBER HENRY (PA) is 1821556457

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMBER HENRY (PA)
NPI
1821556457
Phone
Not provided
Address
4562 CANDYTUFT WAY NW
Enumeration Date
2 March 2019
Last Update Date
11 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046162215
Graduation Year
2019 (7 years ago)
PAC ID
6305189705
Group Practice PAC ID
7517032998
Professional Enrollment ID
I20190529001311
Address ID
GA303033050AT22XXXSEXX401

Contacts

Secure Messaging
AHENRY439252@WELLSTAR.ORG
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:7State licenses:0Other namesUpdated within 12 months

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for AMBER HENRY (PA)

  • 4562 CANDYTUFT WAY NW

    ACWORTH, GA 301028155

    Phone:

    Type: Mailing

  • 1700 Hospital South Dr

    Austell, GA 301066810

    Phone: (770) 944-7818

    Fax: (770) 944-6402

    Type: Location

  • Peachtree Road, Brookwood, Atlanta, Fulton County, Georgia, 30363, United States

    ATLANTA, GA 303091281

    Phone: (404) 605-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190529001311IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2112$0
View full utilization report →

Insurance plans in this area (ZIP 30102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517032998View full group profile

Reviews

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Frequently asked questions

Is AMBER HENRY (PA) listed with a National Provider Identifier?
Yes — AMBER HENRY (PA) has NPI 1821556457 on file in the registry.
Active or inactive — what applies to AMBER HENRY (PA)?
You should see AMBER HENRY (PA) as active in CMS-hosted NPPES data.
What expertise is attributed to AMBER HENRY (PA)?
AMBER HENRY (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMBER HENRY (PA)?
Travel planning: use Acworth, Georgia as the reference point for AMBER HENRY (PA), then confirm.
When was this NPI issued?
Enumeration for AMBER HENRY (PA) is noted as March 2, 2019 where the registry provides it.

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