Healthcare Provider Details

I. General information

NPI: 1447074729
Provider Name (Legal Business Name): HEADLAND URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17925 US HWY 431 SOUTH
HEADLAND AL
36345
US

IV. Provider business mailing address

PO BOX 312
HEADLAND AL
36345-0312
US

V. Phone/Fax

Practice location:
  • Phone: 334-423-2273
  • Fax:
Mailing address:
  • Phone: 334-944-2490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JOHN MARK MCDONALD JR.
Title or Position: OWNER
Credential: MD
Phone: 334-423-2273