James Henderson, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

15783 Issued in MS

Practice address

1201 22ND Ave Ste C
Meridian, MS 39301-4010

Phone

(601) 484-5876

Fax

(601) 482-8311

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Mississippi Band of Choctaw Indians

  • General Acute Care Hospital
  • Choctaw, MS
  • NPI 1790865780

  TX

  Medicare reassignment NPD
• RH Emergency Medicine of Highland Community LLC

  • Emergency Medicine Physician
  • Picayune, MS
  • NPI 1033987946
  Medicare reassignment NPD
• RH Emergency Medicine of Marion General LLC

  • Emergency Medicine Physician
  • Columbia, MS
  • NPI 1841064110
  Medicare reassignment NPD
• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  MS

  Medicare reassignment NPD
• Mississippi Band of Choctaw Indians

  • Federal Public Health Clinic/Center
  • Choctaw, MS
  • NPI 1255533758
  NPD
• Mississippi Band of Choctaw Indians

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD
• South Sunflower County Hospital

  • Anesthesiology Physician
  • Indianola, MS
  • NPI 1407064454
  NPD
• South Sunflower County Hospital

  • Clinic/Center
  • Indianola, MS
  • NPI 1487685897
  NPD
• South Sunflower County Hospital

  • Advanced Practice Midwife
  • Indianola, MS
  • NPI 1962395863
  NPD
• South Sunflower County Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Indianola, MS
  • NPI 1972711927
  NPD
• Baptist Medical Center-Leake, Inc

  • Rural Health Clinic/Center
  • Walnut Grove, MS
  • NPI 1548310782
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1588676597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SPRINGRIDGE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113231",
            "telephone_number": "601-957-8494",
            "fax_number": "601-482-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 22ND AVE STE C",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014010",
            "telephone_number": "601-484-5876",
            "fax_number": "601-482-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "15783",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "15783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Hearns, LCSW
• Camilla Heath
• Heavenly Angels Home Care
• Heavenly Angels Home Care Agency LLC
• Dianesha Henderson, CMHT
• Kathryn Kelley Hendry, OT
• Cindy Hernandez, APMHNP
• John Eric Herrington Sr., DMD
• John B Hicks, M.D.
• Karen Elizabeth Hicks, M.D.

• Plastic and Reconstructive Surgery Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Plastic and Reconstructive Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.

Verify at the official NPI Registry.