Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568404416 Individual Practitioner Female Practitioner

Dr. Polly A Henderson , MD

Ophthalmology • Duluth, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Polly Henderson, MD is a certified Ophthalmology practicing in Duluth, GA. With approximately 26 years of clinical experience since graduating from University Of Chicago, Pritzker School Of Medicine in 2000, Dr. Henderson delivers high-quality medical care to the local community at 3650 STEVE REYNOLDS BLVD.

Dr. Henderson is affiliated with The Southeast Permanente Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3650 Steve Reynolds Blvd
Kaiser Permanente Gwinnett Medical Center

Duluth, GA 300964506

Telephone 2157623937
Fax 2157625600
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Duluth, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +1.0 yrs vs City Avg
City Avg: 25.0 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Duluth, GA (579 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Henderson (26 Years) 26 Yrs
Duluth Specialty Average (25.0 Years) 25.0 Yrs

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License GA 068190

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License PA MD425936

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
101262870 (PA)

Hospital & Practice Group Affiliations

The Southeast Permanente Medical Group

3495 Piedmont Rd Ne, Atlanta, GA 303051729

Phone: 4043647206

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1487824272

Doctor of Medicine (M.D.)

NPI 1669419545

Doctor of Medicine (M.D.)

NPI 1932141843

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 07, 2022

Registered at 3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 300964506 (Tel: 2157623937)

📍
Updated Business Mailing Address January 07, 2022

Registered at 3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 303051717 (Tel: 4043647070)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2022

Ophthalmology (License #MD425936 in PA)

NPI Profile Active September 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2012

Registered at 3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096 (Tel: 2157623937)

📍
Updated Business Mailing Address September 25, 2012

Registered at 3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305 (Tel: 4043647070)

👤
Provider Name / Credentials Updated September 25, 2012

Recorded as POLLY HENDERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2012

Ophthalmology (License #068190 in GA)

🟢
Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568404416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: January 07, 2022
Sole Proprietor: No

Mailing Address

3495 Piedmont Rd Ne, Nine Piedmont Center

Atlanta, GA 303051717

Phone: 4043647070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.