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

Headley Family Medicine, LLC

Organization Family Medicine Physician · NPI 1023399813

Headley Family Medicine, LLC is a Family Medicine Physician in Jesup, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
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

825 S 1st St
Jesup, GA 31545-0209
Phone: (912) 427-7400
Fax: (912) 385-2953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 51471 (GA)

Record details

NPI number1023399813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Headley — Owner · (912) 427-7400
NPI enumeratedSeptember 7, 2011
Last updated in NPPESOctober 2, 2012
Mailing addressPo Box 606, Jesup, GA 31598-0606

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