DR. JUSTINE ELODIA HENAO (D.O.) – Internal Medicine Physician, NPI 1902808645
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
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Provider Addresses for DR. JUSTINE ELODIA HENAO (D.O.)
Northside Hospital Forsyth, 1200, Northside Forsyth Drive, Cumming, Forsyth County, Georgia, 30041, United States
CUMMING, GA 300417659
Phone: (770) 844-3200
Fax: (404) 851-6325
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-05-21 • Largest payer in this snapshot: La Jolla Pharmaceutical Company ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| La Jolla Pharmaceutical Company | $17 |
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: 2024-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040902001177 | I | Hospitalist | GA | TBD |
| I20211006000289 | I | Internal Medicine | LA | TBD |
| I20221004002705 | I | Hospitalist | CT | TBD |
| I20230915000386 | I | Internal Medicine | TX | TBD |
| I20231003000386 | I | Internal Medicine | AR | TBD |
| I20231023001478 | I | Internal Medicine | MI | TBD |
| I20231213001617 | I | Internal Medicine | IL | TBD |
| I20240125001235 | I | Internal Medicine | MS | TBD |
| I20240318002020 | I | Internal Medicine | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 108 | 59 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 61 | 43 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 58 | 56 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 45 | 20 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 35 | 18 | $0 |
Insurance plans in this area (ZIP 30041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Internal Medicine | MS | |
| Emergency Medicine | MS | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | MS | |
| - | MS | |
| Hospitalist, Family Practice, Internal Medicine, Family Practice | WI | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | MS | |
| Emergency Medicine | MS |
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