Henderson Family Practice, Inc
NPI 1629522032 · Primary Care Clinic/Center · Waycross, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Henderson Family Practice, Inc is a Primary Care Clinic/Center organization in Waycross, GA (NPI 1629522032).
Provider details
- NPI number
- 1629522032
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lori Henderson, Family Nurse Practitioner/Owner(912) 809-6052
- License
- RN133742 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-08-15
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Frequently asked questions
- What is Henderson Family Practice, Inc's NPI number?
- Henderson Family Practice, Inc's National Provider Identifier (NPI) is 1629522032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Henderson Family Practice, Inc?
- Henderson Family Practice, Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Henderson Family Practice, Inc located?
- Henderson Family Practice, Inc's practice location on file with NPPES is 624 Tebeau St, Waycross, GA 31501-4728.
- What is Henderson Family Practice, Inc's phone number?
- The practice phone number listed in the NPPES registry for Henderson Family Practice, Inc is (912) 809-6052.
- Does Henderson Family Practice, Inc accept Medicare?
- Henderson Family Practice, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Henderson Family Practice, Inc?
- The authorized official listed on Henderson Family Practice, Inc's NPPES record is Lori Henderson, Family Nurse Practitioner/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Henderson Family Practice, Inc's NPI active?
- Yes — Henderson Family Practice, Inc's NPI (1629522032) is active in the NPPES registry as of the last update on 2024-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.