Randolph Hayes Henderson, PHYSICIAN ASSISTANT
Physician Assistant · Jackson, MS
Randolph Hayes Henderson, PHYSICIAN ASSISTANT is a physician assistant with a practice address in Jackson, Mississippi, and NPI 1366530545, issued on Oct 11, 2006. Check the license (Mississippi PA001, as entered in NPPES) with the Mississippi board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Randolph Hayes Henderson
- Credential
- PHYSICIAN ASSISTANT
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA001 MS
Self-reported in NPPES; status is on the state search - Practice location
- 1500 E Woodrow Wilson Drive, Jackson, MS 39216
- Phone
- (601) 362-4471
- Enumerated
- Oct 11, 2006
- Record last updated
- Jul 11, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (601) 364-1325
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 338 in Mississippi → Look up another NPI →
Also registered at 1500 E Woodrow Wilson Drive
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Julia Burnett, LCSWClinical Social Worker1336588185
- Sandra Christmas, FNPFamily Nurse Practitioner1649409871
- John McGowan, R.PH.Pharmacist1649385949
- Carolyn Ransburg-Garner, NPFamily Nurse Practitioner1306949888
- Roy Reeves, DOPsychiatry Physician1477564664
Verify Randolph Hayes Henderson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license PA001Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Randolph Hayes Henderson among 338 physician assistant records in Mississippi
Randolph Hayes Henderson, PHYSICIAN ASSISTANT is one of 338 physician assistant records with a practice address in Mississippi. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 1% of them.
- NPI issued2006 · 1% of these records are older, 92% newer
- In a Medicare fileNo · 79% of these records are
- In the CMS Doctors and Clinicians fileNo · 66% of these records are
- Record last updated2007 · 31% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physician Assistant providers in Mississippi
There are 338 physician assistant records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 338 in Mississippi → Every provider in Jackson → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jacob Carpenter, PA-CJackson, MS 392161922541093
- Ronald Eller, PAJackson, MS 392161518992833
- Amber Goodman, PA-CJackson, MS 392161013305895
- Holly Hutcheson, PAJackson, MS 392161669832150
- Stephanie Keith, PA-CJackson, MS 392161023555190
- Eric Lenoir, PAJackson, MS 392161386639359
- Rennie Mills, PHYSICIAN ASSISTANTJackson, MS 392161942307400
- Kelsey North, PA-CJackson, MS 392161073980728
Common questions
What is Randolph Hayes Henderson, PHYSICIAN ASSISTANT's NPI number?
Randolph Hayes Henderson, PHYSICIAN ASSISTANT's National Provider Identifier (NPI) is 1366530545, issued on Oct 11, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Randolph Hayes Henderson, PHYSICIAN ASSISTANT located?
The NPPES record lists a practice address at 1500 E Woodrow Wilson Drive, Jackson, MS, 39216. Phone: (601) 362-4471. Providers update this record themselves, so call before visiting.
How can I verify Randolph Hayes Henderson, PHYSICIAN ASSISTANT's license?
NPPES lists Mississippi license number PA001, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.