Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henderson Family Practice, Inc

Organization Primary Care Clinic/Center · NPI 1629522032

Henderson Family Practice, Inc is a Primary Care Clinic/Center in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

624 Tebeau St
Waycross, GA 31501-4728
Phone: (912) 809-6052
Fax: (912) 809-6070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence RN133742 (GA)

Record details

NPI number1629522032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Henderson — Family Nurse Practitioner/Owner · (912) 809-6052
NPI enumeratedAugust 15, 2016
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address403 Lister St, Suite A, Waycross, GA 31501-5225

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