Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Baxley Medical Clinic, LLC

Organization Family Medicine Physician · NPI 1174707103

Baxley Medical Clinic, LLC is a Family Medicine Physician in Baxley, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

331 S Main St
Baxley, GA 31513-0109
Phone: (912) 367-9112
Fax: (912) 367-6233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 057979 (GA)

Record details

NPI number1174707103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Graham — Owner · (912) 367-9112
NPI enumeratedDecember 27, 2007
Last updated in NPPESApril 15, 2010
Mailing address331 S Main St, Baxley, GA 31513-0109

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