Badia Healthcare

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BADIA HEALTHCARE

Practice address

2001 Melrose PL
Kathleen, GA 31047-2873

Phone

(615) 738-6463

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Ashley Defore

Title

Operations Manager

Phone

(478) 508-3308

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1427851708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MELROSE PL",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472873",
            "telephone_number": "615-738-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MELROSE PL",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472873",
            "telephone_number": "615-738-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADIA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "DEFORE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "478-508-3308"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Kathleen, GA
• Providers in Kathleen, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.