JEANNIE HENDERSON (NPI# 1548670045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548670045 |
| Entity Type | Individual |
| Full Name | JEANNIE HENDERSON |
| Practice Address |
320 Pendleton St Waycross GA 31501-3731 |
| Practice Telephone | 9125902549 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 493758 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
320 PENDLETON ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154229 | Graced Hands Surgical Assisting | Specialist/Technologist | 1320 Cimarron Pkwy, Atlanta, GA 30350-6857 | 2020-08-13 |
| 1225553779 | Ashley Gilbreth | Specialist/Technologist | 345 Charlyne Way, Dacula, GA 30019-2381 | 2017-08-06 |
| 1700159209 | Neuro-assistive Educational Solutions | Specialist/Technologist | 4737 S Seminole Dr, Douglasville, GA 30135-4641 | 2012-02-14 |
| 1689847758 | Vicki Renee' Lucas-welborn | Specialist/Technologist | 215 Leyden St, Decatur, GA 30030-3521 | 2008-04-09 |
| 1669997276 | Johnathan Charles Roberts | Specialist/Technologist | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2017-08-04 |
| 1922533710 | Nikki Fisher | Specialist/Technologist | 105 Habersham Dr, Suite A, Fayetteville, GA 30214-7341 | 2017-04-29 |
| 1114134988 | Megan L Morris | Specialist/Technologist | 2109 N Patterson St, Ste A, Valdosta, GA 31602-2946 | 2007-05-17 |
| 1346392339 | Lung Care Specialists PC | Specialist/Technologist | 1265 Highway 54 W, Suite 500d, Fayetteville, GA 30214-4548 | 2007-01-18 |
| 1619940921 | Joshua Aaron Slatky | Specialist/Technologist | 400 Timms Rd Ne, Calhoun, GA 30701-7016 | 2006-02-08 |
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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.