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

Mr. James Ryan Head, PHYSICIANASSISTANT

Individual provider Athletic Trainer · NPI 1447360201

Mr. James Ryan Head, PHYSICIANASSISTANT is a Physician Assistant in Camp Lejeune, North Carolina. Qualified in 2012, 14 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

100 Brewster Blvd Naval Hospital
Camp Lejeune, NC 28547-2538
Phone: (910) 450-4159
Fax: (910) 450-4194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Athletic Trainer Taxonomy 2255A2300X · Licence 1183 (NC)

Record details

NPI number1447360201
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESFebruary 25, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Camp Lejeune