DR. JOHN M. HENDERSON SR. (NPI# 1477597979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477597979 |
| Entity Type | Individual |
| Full Name | DR. JOHN M. HENDERSON SR. |
| Credential | D.O. |
| Practice Address |
1900 10th Ave Suite 320 Columbus GA 31901 |
| Practice Telephone | 7063235717 |
| Practice Fax Number | 8556811414 |
| Mailing Telephone | (706) 323-5717 |
| Mailing Fax Number | 7063236010 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
025765 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE | 025765 | 01 |
| GA | DEA | AH2421751 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952710212 | John Henderson | Chiropractor | 1624 N Avignon Ln, Clovis, CA 93619-3798 | 2014-08-11 |
| 1235452186 | John William Henderson | Specialist/Technologist | 7473 Shay Ln, South Weber, UT 84405-9202 | 2010-03-07 |
| 1699899633 | John Stephen Henderson | Counselor | 663 Cottage St Ne, Salem, OR 97301-2419 | 2007-03-16 |
| 1245314947 | John Henderson | Internal Medicine | 3400 Laguna St, San Francisco, CA 94123 | 2006-10-25 |
| 1962591214 | John David Henderson | Dentist | 624 Lauderdale St, Selma, AL 36701-4529 | 2006-10-12 |
| 1114963402 | John Gibson Henderson Jr. | Psychologist | 473 Graywood Dr, Ballwin, MO 63011-3459 | 2006-06-22 |
| 1386108066 | John Henderson | Counselor | 323 N Broad St, Fairborn, OH 45324-4934 | 2019-01-26 |
| 1881195162 | John Henderson | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-02-22 |
| 1669972055 | John Henderson | Physical Therapist | 124 Hawthorne Ln, Greenwood, IN 46142-9430 | 2018-02-13 |
| 1346654407 | John Henderson Iv | Internal Medicine | 1327 Stadium Dr, Macon, GA 31207-1302 | 2014-06-17 |
| Street Address |
1900 10TH AVE SUITE 320 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205908217 | Emory Jevode Alexander | Orthopaedic Surgery | 1900 10th Ave Suite 320, Columbus, GA 31901 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346058 | Richard Martin | Family Medicine | 50 Mcnaughten Rd Ste 202, Columbus, OH 43213-2193 | 2005-09-20 |
| 1962964833 | Hughston Medical Group, PC | Family Medicine | 1900 10th Ave Ste 211, Columbus, GA 31901-3604 | 2019-04-01 |
| 1184078644 | Margaret Doe | Family Medicine | 543 Taylor Ave Fl 2, Columbus, OH 43203-1278 | 2016-04-20 |
| 1164717260 | Benjamin Jacob Burkam | Family Medicine | 697 Thomas Ln, Columbus, OH 43214 | 2011-06-16 |
| 1619276656 | Ohiohealth Corporation | Family Medicine | 3705 Olentangy River Rd Ste 260, Columbus, OH 43214-3467 | 2011-03-16 |
| 1093950560 | Grant/riverside Medical Care Foundation, Inc | Family Medicine | 3705 Olentangy River Rd, Ste 260, Columbus, OH 43214-3467 | 2008-12-11 |
| 1699947176 | John M Henderson Do PC | Family Medicine | 2300 Manchester Expy, Bldg G202, Columbus, GA 31904-6802 | 2008-03-25 |
| 1982809273 | John W Diehl | Family Medicine | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2007-06-18 |
| 1558446765 | Kiersten W Arthur | Family Medicine | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-10-26 |
| 1457330078 | Joel Lewis Shaw | Family Medicine | 3705 Olentangy River Rd, Ste 260, Columbus, OH 43214-3467 | 2006-01-12 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.