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

Lori Henderson, NP-C

Individual provider Family Nurse Practitioner · NPI 1871047399

Lori Henderson, NP-C is a Nurse Practitioner in Waycross, Georgia. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

624 Tebeau St
Waycross, GA 31501-4728
Phone: (912) 809-6052
Fax: (912) 809-6070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 133742 (GA)

Record details

NPI number1871047399
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedAugust 12, 2016
Last updated in NPPESMarch 27, 2019
Mailing address624 Tebeau St, Waycross, GA 31501-4728

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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