CONNOR ANDREW HENSON IDMT
NPI 1083492870
Military Health Care Provider - Independent Duty Medical Technicians in Moody Afb, GA

Active since September 21, 2023
5178 BURMA RD, MOODY AFB, GA 31699(918) 344-1110 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connor Andrew Henson Idmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR ANDREW HENSON IDMT (NPI 1083492870) is an individual independent duty medical technicians provider in Moody Afb, Georgia and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1083492870
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameCONNOR ANDREW HENSONCredential: IDMT
Location Address5178 BURMA RDMoody Afb, GA 31699-0001
Mailing Address5178 Burma RdMoody Afb, GA 31699-0001 · (229) 257-2778
Sole ProprietorNo
Enumeration DateSeptember 21, 2023
Last NPPES UpdateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
NPI 1083492870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
5178 BURMA RD, Moody Afb, GA 31699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Henson's NPI number?

The NPI number for Connor Henson is 1083492870. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Connor Henson located?

Connor Henson practices at 5178 Burma Rd, Moody Afb, GA 31699. The listed phone number is (918) 344-1110.

What is Connor Henson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Connor Henson was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.