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DR. EVERETT RANDALL HENDERSON III M.D.
NPI 1609904515
Pediatrics - Neonatal-Perinatal Medicine in Hattiesburg, MS

Active since March 01, 2007
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401(601) 288-3440(601) 288-3451 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Everett Randall Henderson Iii M.d. NPPES

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

DR. EVERETT RANDALL HENDERSON III M.D. (NPI 1609904515) is an individual neonatal-perinatal medicine provider in Hattiesburg, Mississippi, licensed in Mississippi (14669) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1609904515
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. EVERETT RANDALL HENDERSON IIICredential: M.D.
Location Address6051 U S HIGHWAY 49Hattiesburg, MS 39401-7200
Mailing Address1108 Oakleigh DrHattiesburg, MS 39402-3068 · (601) 288-3440 · Fax (601) 288-3451
Phone(601) 288-3440
Fax(601) 288-3451
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609904515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MS · 14669
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
6051 U S HIGHWAY 49, Hattiesburg, MS 39401
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Other Identifiers 2

Medicare UPING23778MS
Medicaid0117106MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMATA SAKHANOKHO PHARM.D.
Pharmacist
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-4213
KRISTI HILL NESLER PHARM.D.
Pharmacist
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-4160
JUANICE GANDY GLAZE
Pharmacist
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-4276
MELISSA RUTH TOLAR FNP
Nurse Practitioner (Family)
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-1212
TIFFANY YVETTE BOONE NP
Nurse Practitioner
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 264-6000
FGH PHYSICIAN BILLING
Internal Medicine (Cardiovascular Disease)
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-7000
JACKLYN CUMMINS DO
Student in an Organized Health Care Education/Training Program
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-7000
LEE PACE FNP, OTR
Nurse Practitioner (Family)
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-7000

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 Everett Henderson's NPI number?

The NPI number for Everett Henderson is 1609904515. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Everett Henderson located?

Everett Henderson practices at 6051 U S Highway 49, Hattiesburg, MS 39401. The listed phone number is (601) 288-3440.

What is Everett Henderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

What insurance does Everett Henderson accept?

Health plans from Molina Healthcare list Everett Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Everett Henderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.