DR. KRISTI DAWN HENDERSON (MD) – Family Medicine Physician, NPI 1164433298

DR. KRISTI DAWN HENDERSON (MD) is a healthcare provider. based in Atlanta, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. E-2181 (AR). The NPI Number for DR. KRISTI DAWN HENDERSON (MD) is 1164433298

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTI DAWN HENDERSON (MD)
NPI
1164433298
Phone
(903) 796-2868
Address
1011 S WILLIAM ST
Enumeration Date
11 August 2006
Last Update Date
14 January 2021

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8326993777
Graduation Year
1996 (30 years ago)
PAC ID
9436208311
Group Practice PAC ID
0547682460
Professional Enrollment ID
I20090526000185
Address ID
TX770836339HO8910XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. KRISTI DAWN HENDERSON (MD)

  • 1011 S WILLIAM ST

    ATLANTA, TX 755513245

    Phone: (903) 796-2868

    Fax: (903) 796-0826

    Type: Mailing

  • 2001 Mall Dr

    Texarkana, TX 755032560

    Phone: (903) 336-3412

    Type: Location

  • 900 N LOUISE ST

    ATLANTA, TX 755511725

    Phone: (903) 556-2265

    Type: Mailing

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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-06-07 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2009-05-26

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
I20090526000185IEmergency MedicineTXTBD

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
99284Emergency department visit with moderate level of medical decision making118115$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5244$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only2828$0
99285Emergency department visit with high level of medical decision making2020$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 75551)

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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: 0547682460View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineMA
Emergency MedicineOK
Emergency MedicineTX
Emergency MedicineCA
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency Medicine, Internal MedicineTX

Reviews

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Frequently asked questions

Can I verify DR. KRISTI DAWN HENDERSON (MD) with an NPI only?
You can start verification with NPI 1164433298 for DR. KRISTI DAWN HENDERSON (MD), then check state licensing separately.
Can I rely on DR. KRISTI DAWN HENDERSON (MD) being an active provider?
As of the registry snapshot, DR. KRISTI DAWN HENDERSON (MD) is marked active.
What is DR. KRISTI DAWN HENDERSON (MD)'s specialty?
The listing groups DR. KRISTI DAWN HENDERSON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KRISTI DAWN HENDERSON (MD)?
DR. KRISTI DAWN HENDERSON (MD)'s geographic hint is Atlanta, Texas in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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