Beverly Khodra, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

110893 Issued in GA

Practice address

855 Curtis Pkwy SE
Calhoun, GA 30701-3688

Phone

(706) 624-5100

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Home Care Services Home health agency, Yakima, WA, CCN 507028
• Mountainview Home Health Home health agency, Yakima, WA, CCN 507115
• Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
• Adventhealth Gordon Hospital, Calhoun, GA, CCN 110023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: bkhodra29705@yvfwc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harbin Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Rome, GA
  • NPI 1679599088
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System Georgia, Inc.

  • General Acute Care Hospital
  • Calhoun, GA
  • NPI 1760402424
  Care Compare affiliation
• Mountainview Home Health, LLC

  • Home Health Agency
  • Yakima, WA
  • NPI 1578583399
  Care Compare affiliation
• Yakima Valley Memorial Hospital Association

  • General Acute Care Hospital
  • Yakima, WA
  • NPI 1053373480
  Care Compare affiliation
• Yakima Valley Memorial Hospital Association

  • Home Health Agency
  • Yakima, WA
  • NPI 1114964509
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1205499308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 CURTIS PKWY SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013688",
            "telephone_number": "706-624-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CURTIS PKWY SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013688",
            "telephone_number": "706-624-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODRA",
        "first_name": "BEVERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61224464",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "110893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Brooke Kendrick
• Tara Darlene Kendrick, FNP-C
• Lindsey Kenny, MS OTR/L
• Kristie Nichole Kessler, PTA
• Bethany Brianne Ketterer, DPT
• Allena Leigh Kilpatrick, CADC-T
• Susan In-Hee Kim, M.D.
• Jenessa King
• Karen King
• Loren C King, M.D.

• Family Medicine Physician in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.