Lori Henderson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

133742 Issued in GA

Practice address

624 Tebeau St
Waycross, GA 31501-4728

Phone

(912) 809-6052

Fax

(912) 809-6070

NPI assigned

Aug 12, 2016

Last updated

Mar 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: lorihenderson@hfpi-ga.direct.office.nextgen.com

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.

• Henderson Family Practice, Inc

  • Primary Care Clinic/Center
  • Waycross, GA
  • NPI 1629522032
  Medicare reassignment NPD Authorized official
• Southern Healthcare Collaboration, Inc

  • Primary Care Nurse Practitioner
  • Baxley, GA
  • NPI 1750087490
  Medicare reassignment NPD
• Southern Primary Care and Behavioral Health Services, LLC

  • Family Nurse Practitioner
  • Baxley, GA
  • NPI 1508584319
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health Services, L.L.C.

  dba Memorial Satilla Health

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468
  Care Compare affiliation

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1871047399",
    "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": {
        "last_name": "HENDERSON",
        "first_name": "LORI",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "133742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart Posture Senior Companion Care LLC
• Heartland EMS Inc (Heartland EMS - Waycross)
• Helping Hands Behavioral Solutions
• Henderson Family Practice, Inc
• Jeannie Henderson
• Tiffany Henderson, LCSW
• Sandra T Hendrickson
• Amy Hendrix-Bennett
• Fady Henein, MD
• Dorothy Rene Herdman, LCSW

• Family Nurse Practitioner in Waycross, GA
• Providers in Waycross, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.
• 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.