Active NPI
Badia Medical, LLC
Doing business as Cochran Family MedicaL Center
- Family Medicine Physician
- Cochran, GA
National Provider Identifier
1144025784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BADIA MEDICAL, LLC
- Doing business as
- Cochran Family MedicaL Center
- Practice address
- 179 W Dykes St
Cochran, GA 31014-6921 - Phone
- (478) 922-3074
- NPI assigned
- Feb 18, 2025
- Last updated
- Feb 18, 2025
- Organization subpart
- Yes
- Parent organization
- BADIA MEDICAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Defore
- Title
- Office Manager
- Phone
- (478) 922-3074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
179 W Dykes St
Cochran, GA 31014-6921
Mailing address
107 Peacock Dr
Warner Robins, GA 31088-3637
Phone (478) 922-3074
Other names 1
- Cochran Family MedicaL Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Badia Medical LLC
Locations
179 W Dykes St
Cochran, GA 31014
Phone (478) 922-3074
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Cochran, GA
- NPI 1104822964
-
- Family Nurse Practitioner
- Hawkinsville, GA
- NPI 1255781308
-
- Physician Assistant
- Cochran, GA
- NPI 1134160468
-
- Pediatrics Physician
- Warner Robins, GA
- NPI 1841639713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1144025784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 PEACOCK DR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310883637",
"telephone_number": "478-922-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 W DYKES ST",
"city": "COCHRAN",
"state": "GA",
"postal_code": "310146921",
"telephone_number": "478-922-3074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BADIA MEDICAL, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BADIA MEDICAL LLC",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "DEFORE",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "478-922-3074"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cochran Family MedicaL Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cochran, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.