P Praxis·MD
● Active Type 2 · Organization

Brad Headley MD FACS Llc

Surgery·Swainsboro, GA· NPI 1699029603 · Enumerated 2012 · 13 years on NPI
Brad Headley MD FACS Llc is 1 of 1389 surgery organizations in Georgia.
NPI age
13 years
Enumerated 2012-10-30
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Headley
General Surgery
Last NPPES update
2012-10-30
Source: monthly bulk 2026-05

How this organization compares

Across 1389 active surgery providers in Georgia.

NPI age
13 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-10Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
120 Victory Dr # A
Swainsboro, GA 304013235
📞 4782373291fax 4782374344
Mailing address
Po Box 568
Swainsboro, GA 304010568
📞 4782373291fax 4782374344

Authorized official

William B Headley, M.D.
General Surgery
📞 4782373291

Individual providers at this organization

1 individual provider on file at this primary practice address.

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) 338041 WELLCARE
05 (GA) 000618241A
01 (GA) 10045911 AMERIGROUP
01 (GA) 52495099 BCBS

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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