P Praxis·MD
● Active Type 1 · Individual

DR. William Bradford Headley, M.D.

Surgery·Swainsboro, GA· NPI 1447254818 · Enumerated 2005 · 20 years on NPI
Headley is 1 of 4 surgery providers in Swainsboro and 1 of 1389 in Georgia.
NPI age
20 years
Enumerated 2005-06-13
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-12-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
120 Victory Dr # A
Swainsboro, GA 304013235
📞 4782373291fax 4782374344
Mailing address
120 Victory Dr # A
Swainsboro, GA 304013235
📞 4782373291fax 4782374344

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #039125 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (GA) 020024468 RR MEDICARE
01 (GA) 338041 WELLCARE
01 (GA) 52495099 BLUE CROSS BLUE SHIELD
05 (GA) 000618241A
01 (GA) 10045911 AMERIGROUP

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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