Individual provider Active NPI

Salome Ewurasi Defore, MD

  • Internal Medicine Physician
  • Valdosta, GA
National Provider Identifier
1245736172
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
88578 Issued in GA
Practice address
2501 N Patterson St
Valdosta, GA 31602-1735
Phone
(470) 316-3378
NPI assigned
Mar 31, 2018
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210913003031 GA Practitioner - HospitalistPractitioner - Internal Medicine 0840541561 Reassigns benefits to 9 organizations
I20250108002703 TN Practitioner - Internal Medicine 0840541561 Reassigns benefits to 2 organizations
I20250122001191 LA Practitioner - Internal Medicine 0840541561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
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

LicenseStateTypeSpecialty
88578GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anemonefish Inpatient Services LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Emory Medical Care Foundation Inc Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jun 1, 2023 Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Allatoona Physician Services PC Hospitalist CurrentSince Dec 13, 2022 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Apogee Medical Group Georgia Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC Hospitalist CurrentSince Jan 7, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince May 1, 2022 Accepting new patients
Hightower Physician Services, PC Hospitalist CurrentSince Nov 28, 2022 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

  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.