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BAXLEY MEDICAL CLINIC, LLC
NPI 1174707103
Family Medicine in Baxley, GA

Active since December 27, 2007
331 S MAIN ST, BAXLEY, GA 31513(912) 367-9112(912) 367-6233 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Baxley Medical Clinic, Llc NPPES

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

BAXLEY MEDICAL CLINIC, LLC (NPI 1174707103) is a healthcare organization registered as a family medicine in Baxley, Georgia and active in the NPI registry since December 2007. The organization lists James Adrian Graham, Owner, as its authorized official.

NPPES Registry Identity

NPI1174707103
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAXLEY MEDICAL CLINIC, LLC
Location Address331 S MAIN STBaxley, GA 31513-0109
Mailing Address331 S Main StBaxley, GA 31513-0109 · (912) 367-9112 · Fax (912) 367-6233
Phone(912) 367-9112
Fax(912) 367-6233
Organization SubpartNo
Authorized OfficialJames Adrian GrahamOwner · (912) 367-9112
Enumeration DateDecember 27, 2007
Last NPPES UpdateApril 15, 2010
✔ NPI 1174707103 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 · 057979
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.
331 S MAIN ST, Baxley, GA 31513
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Other Identifiers 3

Medicare UPINI55876GA
Medicaid662027563EGA
Medicare PIN511G700268GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

EXCELCARE AMBULANCE SERVICE, INC
Ambulance (Land Transport)
331 S MAIN ST
BAXLEY, GA 31513
Appling County (877) 399-1018

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 Baxley Medical Clinic, LLC's NPI number?

The NPI number for Baxley Medical Clinic, LLC is 1174707103. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Baxley Medical Clinic, LLC located?

Baxley Medical Clinic, LLC is located at 331 S Main St, Baxley, GA 31513. The listed phone number is (912) 367-9112.

What is Baxley Medical Clinic, 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 Baxley Medical Clinic, LLC was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.