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

Johnathan Edward Henderson, MD

Individual provider Family Medicine Physician · NPI 1154327856

Johnathan Edward Henderson, MD is a Family Practice in Rome, Georgia. Graduated from Yale University School of Medicine in 2000, 26 years ago. Practices with Floyd Healthcare Management Inc, a 134-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Trained at
Yale University School of Medicine
Licensed in
GA
In the registry since
2005
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

304 Shorter Ave NW Ste 201
Rome, GA 30165
Phone: (706) 509-3300
Fax: (706) 509-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 054898 (GA)

Record details

NPI number1154327856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2005
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023
Mailing address420 E 2nd Ave Ste 103, Rome, GA 30161-3210

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Floyd Healthcare Management Inc — 134 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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