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Active NPI 1366530545 Individual Practitioner Male Practitioner

Randolph Hayes Henderson , PHYSICIAN ASSISTANT

Physician Assistant • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Randolph Henderson, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Jackson, MS. Practice services are available at 1500 E WOODROW WILSON DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 E Woodrow Wilson Drive
G V Montgomery Department Of Veterans Affairs

Jackson, MS 392165199

Telephone 6013624471
Fax 6013641325
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.4 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
66 Specialists

Practicing in Jackson, MS (343 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MS PA001

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Melissa Graig , RN

Registered Nurse

NPI 1003151135

Registered Nurse

NPI 1003228719

Doctor of Philosophy (Ph.D.)

Lillian Roberson

Technician - Attendant Care Provider

NPI 1003777434
NPI 1003911231

Registered Pharmacist

Brenda Day , CLINICAL NURSE SPECI

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1003996265

CLINICALNURSESPECI

Angela Causey , MS, RD

Dietitian, Registered

NPI 1013011329

Master of Science, Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 11, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2007

Registered at 1500 E WOODROW WILSON DRIVE, G V MONTGOMERY DEPARTMENT OF VETERANS AFFAIRS, JACKSON, MS 392165199 (Tel: 6013624471)

📍
Updated Business Mailing Address July 11, 2007

Registered at 4223 ADAMS STATION ROAD, EDWARDS, MS 39066 (Tel: 6018852022)

👤
Provider Name / Credentials Updated July 11, 2007

Recorded as RANDOLPH HENDERSON, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2007

Physician Assistant (License #PA001 in MS)

🟢
Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366530545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: July 11, 2007
Sole Proprietor: No

Mailing Address

4223 Adams Station Road

Edwards, MS 39066

Phone: 6018852022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.