NPI age
9 years
Enumerated 2016-08-15
● Active Type 2 · Organization
Henderson Family Practice, Inc
Henderson Family Practice, Inc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Henderson
Family Nurse Practitioner/owner
Last NPPES update
2024-10-31
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
9 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-08Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
624 Tebeau St
Waycross, GA 315014728
Mailing address
403 Lister St, Suite A
Waycross, GA 315015225
Authorized official
Lori Tayman Henderson, NP-C
Family Nurse Practitioner/owner
📞 9128096052
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Lori Henderson, NP-C Nurse Practitioner NPI 1871047399
- Graci York, FNP-C Nurse Practitioner NPI 1598517500
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.