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

Dr. John Henderson IV, MD

Individual provider Internal Medicine Physician · NPI 1346654407

Dr. John Henderson IV, MD is an Internal Medicine in Macon, Georgia. Graduated from Medical University of South Carolina College of Medicine in 2014, 12 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
12
Trained at
Medical University of South Carolina College of Medicine
Licensed in
GA, SC
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1327 Stadium Dr
Macon, GA 31207-1302
Phone: (478) 301-2382
Fax: (478) 301-2391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 96 Jonathan Lucas St Ste 803, Charleston, SC 29425-8900 — (843) 792-1020

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 078835 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL36863 (SC)

Record details

NPI number1346654407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 17, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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