● Active Type 1 · Individual

Johnathan Edward Henderson, M.D.

Family Medicine·Rome, GA· NPI 1154327856 · Enumerated 2005 · 20 years on NPI

Henderson is 1 of 89 family medicine providers in Rome and 1 of 5448 in Georgia.

NPI age

20 years

Enumerated 2005-06-27

Primary specialty

Family Medicine

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2023-03-10

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age

20 years

↑ 3 yr above median (17 yr)

State licenses

1 state

12% of peers hold multiple states

Subspecialties

26% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES

2005 2026

Where they practice

Practice location

304 Shorter Ave Nw Ste 201

Rome, GA 30165

📞 7065093300fax 7065093301

Mailing address

420 E 2nd Ave Ste 103

Rome, GA 301613210

📞 7065093000

Specialties

Allopathic & Osteopathic Physicians › Family Medicine

Family Medicine Primary

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...

GA license #054898 taxonomy 207Q00000X

Identifiers

Type	Value	Notes
01 (GA)	0103487	UNITED HEALTHCARE
01 (GA)	P00177381	RAILROAD RETIREMENT MEDIC
01 (GA)	6313	KAISER PERMANENTE
01 (GA)	388021	BCBS

Practice context

Part of a multi-provider practice. 46 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new family medicine provider has been added in Rome in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.