Active NPI
Colin Reed Henderson, DO
- General Practice Physician
- Pensacola, FL
National Provider Identifier
1366295651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8271459
- Practice address
- 220 Hovey Rd
Pensacola, FL 32508-1044 - Phone
- (850) 452-9484
- NPI assigned
- Apr 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8271459 | ID | Primary |
Addresses
Primary practice location
220 Hovey Rd
Pensacola, FL 32508-1044
Mailing address
2917 East Hart St
Yuma, AZ 85365
Phone (928) 269-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241021004533 | SC | Order and Referring Only - Family Practice | 2062944564 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8271459 | ID | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1366295651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 EAST HART ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "85365",
"telephone_number": "928-269-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HOVEY RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325081044",
"telephone_number": "850-452-9484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "COLIN",
"middle_name": "REED",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-08",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ID",
"license": "8271459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
- Quetheline M Helvetius-Lanza, MD
- Hematology Oncology Associates PA (Hope Medical Group)
- Ruth A Henchey, MD
- Ashley Henderson, DPT
- Christopher Henderson III, PHARMACIST
- Kelley Henderson, LAT, ATC
- Tania Henderson, M. S., BCBA
- Tristin B Henderson
- Kimberley Lynn Hendricks, APRN, ACCNS-P
- Dawn M Hendrickson, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.