NPI age
19 years
Enumerated 2006-09-25
● Active
Type 1 · Individual
DR. Peter L Henderson JR., MD
Henderson is 1 of 2 surgery providers in Chatsworth and 1 of 1389 in Georgia.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-11-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1389 active surgery providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
106 Hospital Dr, Suite 6
Chatsworth, GA 307052070
Mailing address
Po Box 12938
Calhoun, GA 307037013
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | GRP4720 | GROUP # |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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