David M. Headley, M.D. PA
NPI 1578627782ActiveOrganization· Family Medicine· Port Gibson, MS
Family Medicine in Port Gibson, Mississippi, registered in NPPES in December 2006. The authorized official on file is Jezelle L. Headley, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578627782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2006 |
| Last updated in NPPES | Oct 15, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 09133 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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