Randolph Henderson, PHYSICIAN ASSISTANT
NPI 1366530545 · Physician Assistant · Jackson, MS
Randolph Henderson, PHYSICIAN ASSISTANT is a Physician Assistant provider in Jackson, MS (NPI 1366530545).
Provider details
- NPI number
- 1366530545
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- PA001 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2007-07-11
Frequently asked questions
- What is Randolph Henderson's NPI number?
- Randolph Henderson's National Provider Identifier (NPI) is 1366530545, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randolph Henderson's specialty?
- Randolph Henderson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Randolph Henderson located?
- Randolph Henderson's practice location on file with NPPES is 1500 E Woodrow Wilson Drive, Jackson, MS 39216-5199.
- What is Randolph Henderson's phone number?
- The practice phone number listed in the NPPES registry for Randolph Henderson is (601) 362-4471.
- Is Randolph Henderson's NPI active?
- Yes — Randolph Henderson's NPI (1366530545) is active in the NPPES registry as of the last update on 2007-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.