NPI age
2 years
Enumerated 2023-09-07
● Active
Type 1 · Individual
Paul Keith Henderson, CSFA
Henderson is 1 of 1 specialist/technologist, other providers in Rincon and 1 of 399 in Georgia.
Primary specialty
Specialist/Technologist, Other
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-09-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 399 active specialist/technologist, other providers in Georgia.
NPI age
2 years
↓ 4 yr below median (6 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Practice location
101 Lord Effingham Dr
Rincon, GA 313265017
Mailing address
101 Lord Effingham Dr
Rincon, GA 313265017
Specialties
-
Specialist/Technologist, Other PrimaryA surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
-
Specialist/Technologist, OtherSurgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Provyx · Custom healthcare lists
Need all 399 Specialist/Technologist, Other providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.