Mrs Kellie Cain Henderson, NP-C - Medicare Nurse Practitioner in Cumming, GA

Mrs Kellie Cain Henderson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Cumming, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Johns Creek Gastroenterology Pc and her current practice location is 1100 Northside Forsyth Dr, Suite 330, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 889-9901.

Mrs Kellie Cain Henderson is licensed to practice in Georgia (license number RN200046) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720459621.

Contact Information

Mrs Kellie Cain Henderson, NP-C
1100 Northside Forsyth Dr, Suite 330,
Cumming, GA 30041-6012
(770) 889-9901
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kellie Cain Henderson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1100 Northside Forsyth Dr, Cumming, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kellie Cain Henderson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1720459621
  • Provider Enumeration Date: 10/18/2015
  • Last Update Date: 10/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8325324080
  • Enrollment ID: I20170411002279

Medical Identifiers

Medical identifiers for Mrs Kellie Cain Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720459621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN200046 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Johns Creek Gastroenterology Pc09412695912

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kellie Cain Henderson allows following entities to bill medicare on her behalf.
Entity NameJohns Creek Gastroenterology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821272345
PECOS PAC ID: 0941269591
Enrollment ID: O20041008000160

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kellie Cain Henderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kellie Cain Henderson, NP-C
1100 Northside Forsyth Dr, Suite 330,
Cumming, GA 30041-6012

Ph: (770) 889-9901
Mrs Kellie Cain Henderson, NP-C
1100 Northside Forsyth Dr, Suite 330,
Cumming, GA 30041-6012

Ph: (770) 889-9901

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.