Jeannie Henderson

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

493758 Issued in GA

Practice address

320 Pendleton St
Waycross, GA 31501-3731

Phone

(912) 590-2549

NPI assigned

May 6, 2014

Last updated

May 6, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1548670045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PENDLETON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PENDLETON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013731",
            "telephone_number": "912-590-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JEANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "GA",
            "license": "493758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearing Plus Inc.
• Heart Posture Senior Companion Care LLC
• Heartland EMS Inc (Heartland EMS - Waycross)
• Helping Hands Behavioral Solutions
• Henderson Family Practice, Inc
• Lori Henderson, NP-C
• Tiffany Henderson, LCSW
• Sandra T Hendrickson
• Amy Hendrix-Bennett
• Fady Henein, MD

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Waycross, GA
• Providers in Waycross, GA by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.