Headley Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

51471 Issued in GA

Legal business name

HEADLEY FAMILY MEDICINE, LLC

Practice address

825 S 1St St
Jesup, GA 31545-0209

Phone

(912) 427-7400

Fax

(912) 385-2953

NPI assigned

Sep 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William V Headley Jr., M.D.

Title

Owner

Phone

(912) 427-7400

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1023399813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315980606",
            "telephone_number": "912-427-7400",
            "fax_number": "912-385-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450209",
            "telephone_number": "912-427-7400",
            "fax_number": "912-385-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADLEY FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "HEADLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-427-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "51471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Chris Harris Sr., RPH
• Jeffrey Lee Harris, MD
• Jishaun Emmanuel Harris, PHARM D., RPH
• Danna Metts Harvey, PHARMD
• Maggie Poppell Hayes, FNP-C
• Hearts of Compassion Home Care Agency, Inc.
• Douglas P Hein, MD
• Sydney Lance Hendrix, M.D.
• Brandi Jo Higgins, APRN, FNP-C, FNP-BC
• Remley Highsmith, PHARMD

• Family Medicine Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.