Individual provider Active NPI

Ashley Danielle Head, FNP-C

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1033660261
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN208975 Issued in GA
Practice address
1692 Glynco Pkwy
Brunswick, GA 31525-6845
Phone
(912) 265-4735
Fax
(912) 265-6100
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN208975 GA Primary

Addresses

Primary practice location

1692 Glynco Pkwy
Brunswick, GA 31525-6845

Mailing address

1692 Glynco Pkwy
Brunswick, GA 31525-6845
Phone (912) 265-4735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710001647 GA Practitioner - Nurse Practitioner 6305115221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1692 Glynco Pkwy
Brunswick, GA 31525-6845
Phone (912) 265-4735

Hospital & facility affiliations

  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN208975GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Isles Palliative Care, Inc. CurrentSince Feb 22, 2017 Accepting new patients
Cooperative Healthcare Services Inc CurrentSince Nov 1, 2025 Accepting new patients
Hospice of the Golden Isles, Inc. Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2500 Starling St
Ste 101
Brunswick, GA 31520
Phone (912) 354-6190

2500 Starling St
Ste 107
Brunswick, GA 31520
Phone (912) 466-5100

1692 Glynco Pkwy
Brunswick, GA 31525
Phone (912) 265-4735

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1033660261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 GLYNCO PKWY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315256845",
            "telephone_number": "912-265-4735",
            "fax_number": "912-265-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 GLYNCO PKWY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315256845",
            "telephone_number": "912-265-4735",
            "fax_number": "912-265-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "ASHLEY",
        "middle_name": "DANIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN208975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.