HEADLEY FAMILY MEDICINE, LLC
NPI 1023399813
Family Medicine in Jesup, GA

Active since September 07, 2011
825 S 1ST ST, JESUP, GA 31545(912) 427-7400(912) 385-2953 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Headley Family Medicine, Llc NPPES

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

HEADLEY FAMILY MEDICINE, LLC (NPI 1023399813) is a healthcare organization registered as a family medicine in Jesup, Georgia and active in the NPI registry since September 2011. The organization lists William V Headley, Owner, as its authorized official.

NPPES Registry Identity

NPI1023399813
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEADLEY FAMILY MEDICINE, LLC
Location Address825 S 1ST STJesup, GA 31545-0209
Mailing AddressPo Box 606Jesup, GA 31598-0606 · (912) 427-7400 · Fax (912) 385-2953
Fax(912) 385-2953
Organization SubpartNo
Authorized OfficialWilliam V HeadleyOwner · (912) 427-7400
Enumeration DateSeptember 7, 2011
Last NPPES UpdateOctober 2, 2012
NPI 1023399813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 51471
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.

825 S 1ST ST, Jesup, GA 31545

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

Other Providers at the Same Location NPPES 3

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

Urology
825 S 1ST ST
JESUP, GA 31545
Specialist
825 S 1ST ST
JESUP, GA 31545
Clinic/Center (Primary Care)
825 S 1ST ST
JESUP, GA 31545

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 Headley Family Medicine, LLC's NPI number?

The NPI number for Headley Family Medicine, LLC is 1023399813. It was assigned to this organization in the NPPES registry on September 7, 2011.

Where is Headley Family Medicine, LLC located?

Headley Family Medicine, LLC is located at 825 S 1st St, Jesup, GA 31545. The listed phone number is (912) 427-7400.

What is Headley Family Medicine, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Headley Family Medicine, LLC was last updated on October 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.