Healthcare Provider Details

I. General information

NPI: 1205290665
Provider Name (Legal Business Name): HENRY MAKEPEACE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6135 BARFIELD RD STE 200
SANDY SPRINGS GA
30328-4308
US

IV. Provider business mailing address

6135 BARFIELD RD STE 200
SANDY SPRINGS GA
30328-4308
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-8500
  • Fax: 404-256-8506
Mailing address:
  • Phone: 404-256-8500
  • Fax: 404-256-8506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number109446
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number34.013644
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34.013644
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: