Individual provider · Type 1 NPI

Deasia Diaz Henderson, PA-C

Physician Assistant · Atlanta, GA

NPI number 1629553383 Active

Practice location

1001 Johnson Ferry Rd
Atlanta, GA 30342-1605

Call (404) 785-2273 Map

Fax (404) 785-9168

Mailing address

11350 Mccormick Road, EP1, Suite 501
Hunt Valley, MD 21031

Other practice locations

  • 3460 Old Washington Rd Ste 300, Waldorf, MD 20602-3245 · (301) 645-1523

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC0006922 (MD)
Physician Assistant Primary 363A00000X10810 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629553383

Deasia Diaz Henderson, PA-C's National Provider Identifier is 1629553383, issued on Sep 28, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 25, 2025.