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DAVID M. HEADLEY, M.D. PA
NPI 1578627782
Family Medicine in Port Gibson, MS

Active since December 21, 2006
405 MARKET ST, PORT GIBSON, MS 39150(601) 437-3323(601) 437-8499 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David M. Headley, M.d. Pa NPPES

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

DAVID M. HEADLEY, M.D. PA (NPI 1578627782) is a healthcare organization registered as a family medicine in Port Gibson, Mississippi and active in the NPI registry since December 2006. The organization lists Jezelle L Headley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1578627782
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID M. HEADLEY, M.D. PA
Location Address405 MARKET STPort Gibson, MS 39150-2024
Mailing AddressPo Box 676Port Gibson, MS 39150-0676 · (601) 437-3323 · Fax (601) 437-8499
Phone(601) 437-3323
Fax(601) 437-8499
Organization SubpartNo
Authorized OfficialJezelle L HeadleyOffice Manager · (601) 437-3323
Enumeration DateDecember 21, 2006
Last NPPES UpdateOctober 15, 2008
✔ NPI 1578627782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 09133
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.
405 MARKET ST, Port Gibson, MS 39150
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Other Identifiers 4

Medicare PINC02844MS
Medicare UPINB64376
Medicaid09015175MS
OtherDN3465Railroad Medicare

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 Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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)

David M. Headley, M.d. Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to David M. Headley, M.D. PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

David Headley, MD
Family Practice
NPI 1528032406
405 MARKET ST
Port Gibson, MS 39150
(601) 437-3323
✔ PECOS✔ Accepts MedicareSame address
Clare Burnett, FNP
Nurse Practitioner
NPI 1447037965
405 MARKET ST
Port Gibson, MS 39150
(601) 437-3113
✔ PECOS✔ Accepts Medicare23 mi

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 David M. Headley, M.D. PA's NPI number?

The NPI number for David M. Headley, M.D. PA is 1578627782. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is David M. Headley, M.D. PA located?

David M. Headley, M.D. PA is located at 405 Market St, Port Gibson, MS 39150. The listed phone number is (601) 437-3323.

What is David M. Headley, M.D. PA's specialty?

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

Is David M. Headley, M.D. PA enrolled in Medicare?

Yes. David M. Headley, M.D. PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David M. Headley, M.D. PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to David M. Headley, M.D. PA, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does David M. Headley, M.D. PA accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list David M. Headley, M.D. PA 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 David M. Headley, M.D. PA was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.