Shanda Danielle Henry, MS, LAT, ATC is a
Emergency Medicine - Sports Medicine physician based in Tiger, Georgia. Shanda Danielle Henry is licensed to practice in Georgia (license number AT002799) and her current practice location is 230 Wildcat Trail, Tiger, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 490-1430.
NPI number for Shanda Danielle Henry is 1265303804 and her current mailing address is 82 Sand Pump Ln, Lakemont, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265303804.
Physician's Profile
| Full Name | Shanda Danielle Henry |
|---|
| Gender | Female |
|---|
| Speciality | Emergency Medicine - Sports Medicine |
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| Location | 230 Wildcat Trail, Tiger, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265303804
- Provider Enumeration Date: 09/16/2025
- Last Update Date: 09/16/2025
Medical Identifiers
Medical identifiers for Shanda Danielle Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265303804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PS0010X | Emergency Medicine - Sports Medicine | AT002799 (Georgia) | Primary |
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. Shanda Danielle Henry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shanda Danielle Henry, MS, LAT, ATC
82 Sand Pump Ln,
Lakemont, GA 30552-2921
Ph: (706) 490-1430 | Shanda Danielle Henry, MS, LAT, ATC
230 Wildcat Trail,
Tiger, GA 30576
Ph: (706) 490-1430 |
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