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

Headley Family Medicine, LLC

Organization Family Medicine Physician · NPI 1023399813

Headley Family Medicine, LLC provides Family Medicine Physician services 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 Not confirmed with CMS for 14 years — call before visiting
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

Other providers in Jesup