Henderson Family Practice, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RN133742 Issued in GA

Legal business name

HENDERSON FAMILY PRACTICE, INC

Practice address

624 Tebeau St
Waycross, GA 31501-4728

Phone

(912) 809-6052

Fax

(912) 809-6070

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Tayman Henderson, NP-CNPI 1871047399

Title

Family Nurse Practitioner/Owner

Phone

(912) 809-6052

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Henderson, NP-C

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1871047399
  Medicare reassignment NPD Authorized official
• Graci Elizabeth York, FNP-C

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1598517500
  NPD

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1629522032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014728",
            "telephone_number": "912-809-6052",
            "fax_number": "912-809-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014728",
            "telephone_number": "912-809-6052",
            "fax_number": "912-809-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "TAYMAN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "912-809-6052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN133742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latina N Heard, PMHNP-BC
• Hearing Plus Inc.
• Heart Posture Senior Companion Care LLC
• Heartland EMS Inc (Heartland EMS - Waycross)
• Helping Hands Behavioral Solutions
• Jeannie Henderson
• Lori Henderson, NP-C
• Tiffany Henderson, LCSW
• Sandra T Hendrickson
• Amy Hendrix-Bennett

• Primary Care Clinic/Center in Waycross, GA
• Providers in Waycross, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.