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

Dr. Jack David Heneisen, MD

Individual provider Family Medicine Physician · NPI 1447310115

Dr. Jack David Heneisen, MD is a Family Medicine Physician in Rincon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1214 N Columbia Ave Unit D
Rincon, GA 31326
Phone: (912) 826-2132
Fax: (912) 826-2141
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 022780 (GA)

Record details

NPI number1447310115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 11, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Rincon