Active NPI
Salome Ewurasi Defore, MD
- Internal Medicine Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 88578
- Practice address
- 2501 N Patterson St
Valdosta, GA 31602-1735 - Phone
- (470) 316-3378
- NPI assigned
- Mar 31, 2018
- Last updated
- May 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 88578 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 71541 | TN | |
| Hospitalist Physician | 208M00000X | 88578 | GA |
Addresses
Primary practice location
2501 N Patterson St
Valdosta, GA 31602-1735
Mailing address
2501 N Patterson St
Valdosta, GA 31602-1735
Other names 1
- Salome Ewurasi Dadzie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5555
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Hospital & facility affiliations
- St Mary's Hospital
- Grady Memorial Hospital
- Doctors Hospital
- Fairview Park Hospital
- Memorial Satilla Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.24 of 100
- Quality
- 73.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88578 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anemonefish Inpatient Services LLC | Internal Medicine | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| The Emory Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Allatoona Physician Services PC | Hospitalist | Current | Accepting new patients |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Georgia Inc | Internal Medicine | Current | Accepting new patients |
| Calcasieu Cameron Hospital Medicine Group LLC | Hospitalist | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Hightower Physician Services, PC | Hospitalist | Current | Accepting new patients |
| Fairview Park, Limited Partnership | Past | Accepting new patients | |
| Emory Specialty Associates, LLC | Internal Medicine | Past | Accepting new patients |
| Eastside Medical Center, LLC | Past | Accepting new patients | |
| Piedmont Walton Hospital Inc | Past | Accepting new patients | |
| Cartersville Medical Center LLC | Past | Accepting new patients | |
| St. Mary's Hospital, Inc. | Past | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
8045 Roane Medical Center Dr
Harriman, TN 37748
Phone (865) 316-1000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- sdefore2022894@direct.trinity-health.org
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Internal Medicine
-
- Hospitalist Physician
- Cartersville, GA
- NPI 1497482350
-
- Internal Medicine Physician
- Covington, GA
- NPI 1033514716
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
-
- Hospitalist Physician
- Thomaston, GA
- NPI 1891296620
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Hospitalist Physician
- Sulphur, LA
- NPI 1659764967
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Internal Medicine, TN
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Doctors Hospital (Augusta)
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
dba Fairview Park Hospital
- General Acute Care Hospital
- Dublin, GA
- NPI 1285688234
-
dba Grady Health Systems
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1245736172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021735",
"telephone_number": "470-316-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFORE",
"first_name": "SALOME",
"middle_name": "EWURASI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-31",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "88578",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "71541",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "88578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SALOME",
"last_name": "DADZIE",
"middle_name": "EWURASI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.