Doctor profile · Federal record
Dr. Kellie Henderson, NP-C
Family Nurse Practitioner (CMS: Nurse Practitioner) · Cumming, GA
- NPI 1720459621
- Accepts Medicare
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1100 Northside Forsyth Dr, Suite 330
Cumming, GA 300416012
(770) 889-9901
Credentials & registration
- NPI registered
- October 2015 — 11 yrs on file
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Georgia #RN200046
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720459621. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
359
Distinct HCPCS
3
Medicare allowed
$29,280
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 227 | 182 | $73 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 121 | 121 | $93 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $137 |
In context: peer comparison
Among 23 peers in Cumming Family Nurse Practitioner, average services per provider: 135. This provider delivers 2.7× the peer median.Open Payments
Industry payments received
All-time total
$399
Transactions
21
Manufacturers
9
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 5 | $115.82 | |
| Takeda Pharmaceuticals U.S.A., INC. | 4 | $73.91 | |
| Qol Medical, LLC | 3 | $55.92 | |
| Pfizer INC. | 3 | $52.84 | |
| Regeneron Healthcare Solutions, INC. | 2 | $36.20 | |
| Janssen Biotech, INC. | 1 | $18.67 | |
| Phathom Pharmaceuticals, INC. | 1 | $16.54 | |
| Braintree Laboratories, INC. | 1 | $14.98 | |
| Merck Sharp & Dohme LLC | 1 | $14.28 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
642
Patients
271
Total drug cost
$27,436
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 292 | 110 | $4,773 |
| Omeprazole | Generic | 107 | 34 | $1,349 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 61 | 59 | $1,440 |
| Plenvu (Peg3350/Sod Sul/Nacl/Kcl/Asb/C) | Brand | 35 | 34 | $5,056 |
| Famotidine | Generic | 29 | 14 | $603 |
| Ondansetron Hcl | Generic | 22 | 20 | $86 |
| Sucralfate | Generic | 21 | 0 | $2,117 |
| Mesalamine | Generic | 16 | 0 | $2,998 |
| Esomeprazole Magnesium | Generic | 13 | 0 | $658 |
| Cholestyramine (Cholestyramine (With Sugar)) | Brand | 12 | 0 | $2,907 |
Frequently asked questions
What is Dr. Kellie Henderson's medical specialty?
Dr. Kellie Henderson practices Family Nurse Practitioner in Cumming, GA.
Where does Dr. Kellie Henderson practice?
Dr. Kellie Henderson practices at 1100 Northside Forsyth Dr, Cumming, GA 300416012. Office phone: 7708899901.
What is Dr. Kellie Henderson's NPI?
Dr. Kellie Henderson's National Provider Identifier (NPI) is 1720459621, issued by NPPES.
Does Dr. Kellie Henderson accept Medicare assignment?
Yes. Dr. Kellie Henderson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kellie Henderson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.