DR. JOHN HENDERSON IV


Address: 1327 Stadium Dr, Macon, GA 31207-1302
Phone: 4783012382

DR. JOHN HENDERSON IV (NPI# 1346654407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346654407
Entity Type Individual
Full Name DR. JOHN HENDERSON IV
Credential M.D.
Practice Address 1327 Stadium Dr
Macon
GA 31207-1302
Mailing Address 790 Lake Frances Dr Apt 5
Charleston
SC 29412-4337
Practice Telephone 4783012382
Practice Fax Number 4783012391
Mailing Telephone (678) 447-3683
Enumeration Date 2014-06-17
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 078835 GA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine LL36863 SC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
96 Jonathan Lucas St Ste 803, Charleston, SC 294258900 8437921020

Other Providers JOHN HENDERSON

NPI Name Taxonomy Address Enumeration
1952710212 John Henderson Chiropractor 1624 N Avignon Ln, Clovis, CA 93619-3798 2014-08-11
1235452186 John William Henderson Specialist/Technologist 7473 Shay Ln, South Weber, UT 84405-9202 2010-03-07
1699899633 John Stephen Henderson Counselor 663 Cottage St Ne, Salem, OR 97301-2419 2007-03-16
1245314947 John Henderson Internal Medicine 3400 Laguna St, San Francisco, CA 94123 2006-10-25
1962591214 John David Henderson Dentist 624 Lauderdale St, Selma, AL 36701-4529 2006-10-12
1114963402 John Gibson Henderson Jr. Psychologist 473 Graywood Dr, Ballwin, MO 63011-3459 2006-06-22
1477597979 John M. Henderson Sr. Family Medicine 1900 10th Ave Suite 320, Columbus, GA 31901 2006-06-15
1386108066 John Henderson Counselor 323 N Broad St, Fairborn, OH 45324-4934 2019-01-26
1881195162 John Henderson Counselor 3100 Euclid Ave, Cleveland, OH 44115-2508 2018-02-22
1669972055 John Henderson Physical Therapist 124 Hawthorne Ln, Greenwood, IN 46142-9430 2018-02-13

Office Location

Street Address 1327 STADIUM DR
City MACON
State GA
Zip Code 31207-1302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912009572 Carol Dooley Wanna Obstetrics & Gynecology 1327 Stadium Dr, Macon, GA 31207-8639 2006-09-03
1306406152 Braxton Zeigler Specialist/Technologist 1327 Stadium Dr, Macon, GA 31207-1302 2019-06-14
1336709187 Alex Joseph Mccrory Specialist/Technologist 1327 Stadium Dr, Macon, GA 31207-1302 2019-06-14
1447474184 Lynn Taylor Denny Family Medicine 1327 Stadium Dr, Macon, GA 31207-5900 2007-04-12
1568561181 William F Bina Family Medicine 1327 Stadium Dr, Macon, GA 31207-1302 2006-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770004715 Renee Boudreaux Podiatrist 1501 Mercer University Dr, Macon, GA 31207 2017-06-29
1316296627 Jonathan Gustav Bulla Student in an Organized Health Care Education/Training Program 1550 College Street, Macon, GA 31207 2012-08-31
1366723751 Abigail Lewis Family Medicine 1550 College St, Macon, GA 31207 2011-08-30
1265596589 Elizabeth Jean Hudson-weires Registered Nurse 1550 College Street, Macon, GA 31207 2006-12-21
1316593262 Nicole Theresia Mette Student in an Organized Health Care Education/Training Program 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 2019-08-16
1558921973 Anna Nielsen Walker Pathology Mercer University School of Medicine Dept of Pathology, Macon, GA 31207-0001 2019-06-18
1770057788 Brian Daniel Wright Student in an Organized Health Care Education/Training Program 1550 College Steeet, Macon, GA 31207-0001 2019-01-14
1710481049 Sarah Nicole Telliard Student in an Organized Health Care Education/Training Program Mercer University School of Medicine 1550 College St, Macon, GA 31207-0001 2018-03-21
1174925416 William Holcomb Specialist/Technologist 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 2014-09-18
1760665913 Daniel John Gibbs Specialist/Technologist University Athletics, 1400 Coleman Ave, Macon, GA 31207-0001 2007-12-11
Find all providers in zip 31207

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174011811 Frances Barnes Grant Internal Medicine 1842 Waverland Cir, Macon, GA 31211-1116 2018-04-27
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1598295719 Lori Starr Internal Medicine 446 Poplar St Ste B, Macon, GA 31201-3336 2017-06-20
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1720456163 Wellness Connect Internal Medicine 1209 Marlowe Dr, Macon, GA 31210-3107 2015-09-02
1396157657 Almatmed H Mohamed Abdelsalam Internal Medicine 657 Hemlock St Ste 220, Macon, GA 31201-8311 2014-05-21
1114369865 Douglas Farman Md LLC Internal Medicine 310 Hospital Dr Ste 320, Macon, GA 31217-8027 2013-07-23
1528328796 Ahmad Azmi Kabbani Internal Medicine 640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 2012-05-22
1376772640 Beverly Barksdale Sanders IIi Internal Medicine 330 Hospital Dr., Ste. 304, Macon, GA 31217 2009-07-08
1649414657 Lillette A Intaphan Md LLC Internal Medicine 432 Poplar St, Suite B, Macon, GA 31201-3336 2009-04-22
Find all providers in MACON

Competitor

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City MACON
Zip Code 31207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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