BRAD HEADLEY MD FACS LLC
NPI 1699029603
Surgery in Swainsboro, GA

Active since October 30, 2012
120 VICTORY DR # A, SWAINSBORO, GA 30401(478) 237-3291(478) 237-4344 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brad Headley Md Facs Llc NPPES

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

BRAD HEADLEY MD FACS LLC (NPI 1699029603) is a healthcare organization registered as a surgery in Swainsboro, Georgia and active in the NPI registry since October 2012. The organization lists William B Headley, General Surgery, as its authorized official.

NPPES Registry Identity

NPI1699029603
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBRAD HEADLEY MD FACS LLC
Location Address120 VICTORY DR # ASwainsboro, GA 30401-3235
Mailing AddressPo Box 568Swainsboro, GA 30401-0568 · (478) 237-3291 · Fax (478) 237-4344
Fax(478) 237-4344
Organization SubpartNo
Authorized OfficialWilliam B HeadleyGeneral Surgery · (478) 237-3291
Enumeration DateOctober 30, 2012
NPI 1699029603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 039125
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

120 VICTORY DR # A, Swainsboro, GA 30401

Other Identifiers 6

Other338041GA · Wellcare
Medicare UPINC70756GA
Other10045911GA · Amerigroup
Medicare PIN02BDCLDGA
Other52495099GA · Bcbs
Medicaid000618241AGA

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

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

Surgery
120 VICTORY DR # A
SWAINSBORO, GA 30401

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 Brad Headley MD Facs LLC's NPI number?

The NPI number for Brad Headley MD Facs LLC is 1699029603. It was assigned to this organization in the NPPES registry on October 30, 2012.

Where is Brad Headley MD Facs LLC located?

Brad Headley MD Facs LLC is located at 120 Victory Dr # A, Swainsboro, GA 30401. The listed phone number is (478) 237-3291.

What is Brad Headley MD Facs LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Brad Headley MD Facs LLC was last updated on October 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.