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JOHN M HENDERSON DO PC
NPI 1699947176
Family Medicine in Columbus, GA

Active since March 25, 2008
1900 10TH AVE STE 320, COLUMBUS, GA 31901(706) 323-5717(706) 323-6010 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2024, Mar 7, 2023, Feb 25, 2023 (3 updates tracked since 2023).

About John M Henderson Do Pc NPPES

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

JOHN M HENDERSON DO PC (NPI 1699947176) is a healthcare organization registered as a family medicine in Columbus, Georgia and active in the NPI registry since March 2008. The organization lists John Mckenzie Henderson, President, as its authorized official.

NPPES Registry Identity

NPI1699947176
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN M HENDERSON DO PC
Location Address1900 10TH AVE STE 320Columbus, GA 31901-3610
Mailing Address1900 10th Ave Ste 320Columbus, GA 31901-3610 · (706) 323-5717 · Fax (706) 323-6010
Phone(706) 323-5717
Fax(706) 323-6010
Organization SubpartNo
Authorized OfficialJohn Mckenzie HendersonPresident · (706) 323-5717
Enumeration DateMarch 25, 2008
Last NPPES UpdateApril 24, 20243 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1699947176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1900 10TH AVE STE 320, Columbus, GA 31901
Open in Google Maps ↗

Other Identifiers 4

OtherD45629GA · Upin
OtherGRP6429GA · Medicare Group
Other08BBQVHGA · Medicare Provider
Other025765GA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John M Henderson Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to John M Henderson Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Henderson, D.O.
Family Practice
NPI 1477597979
1900 10TH AVE SUITE 320
Columbus, GA 31901
(706) 323-5717
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 John M Henderson Do PC's NPI number?

The NPI number for John M Henderson Do PC is 1699947176. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is John M Henderson Do PC located?

John M Henderson Do PC is located at 1900 10th Ave Ste 320, Columbus, GA 31901. The listed phone number is (706) 323-5717.

What is John M Henderson Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John M Henderson Do PC enrolled in Medicare?

Yes. John M Henderson Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John M Henderson Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to John M Henderson Do PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does John M Henderson Do PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John M Henderson Do PC 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 John M Henderson Do PC was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.