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 provides Family Medicine Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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