Jennifer L Henson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004058 Issued in GA

Practice address

1571 Highway 21 S
Springfield, GA 31329-3099

Phone

(912) 754-7500

Fax

(912) 754-7505

NPI assigned

Jun 23, 2006

Last updated

Mar 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Braun Internal Medicine, P.C.

  • Internal Medicine Physician
  • Pooler, GA
  • NPI 1013187483
  NPD
• Advanced Pediatric Specialists LLC

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1073046397
  NPD (past)
• Effingham Hospital, Inc.

  dba Effingham Health System

  • Critical Access Hospital
  • Springfield, GA
  • NPI 1811962756
  NPD (past)
• Effingham Hospital, Inc.

  dba Effingham Ear Nose and Throat

  • Otolaryngology Physician
  • Springfield, GA
  • NPI 1881588028
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1063448090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 HIGHWAY 21 S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313295214",
            "telephone_number": "912-754-7500",
            "fax_number": "912-754-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 HIGHWAY 21 S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313293099",
            "telephone_number": "912-754-7500",
            "fax_number": "912-754-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057423988A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1005914",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057423998B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Eye Institute, Inc.
• Golden Hours Senior Services, LLC.
• Janet Gray, RN
• Cynthia Taylor Harris
• Susan Neidlinger Harrison, NP
• Anna Horne, PA
• Hospital Authority of Effingham County (Effingham County Extended Care Facility)
• Zatara Holland Howard, PT
• J H Harvey Co LLC (Harveys Supermarket Pharmacy #2404)
• Holli B Johnson, RN

• Physician Assistant in Springfield, GA
• Providers in Springfield, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.