Rebecca J Badach, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004713 Issued in GA

Practice address

55 Carlton St
Uga, Univeristy Health Center
Athens, GA 30602-1755

Phone

(706) 542-8636

Fax

(706) 542-0214

NPI assigned

Mar 13, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1659542165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "address_2": "UGA, UNIVERISTY HEALTH CENTER",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021755",
            "telephone_number": "706-542-8636",
            "fax_number": "706-542-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "address_2": "UGA, UNIVERISTY HEALTH CENTER",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021755",
            "telephone_number": "706-542-8636",
            "fax_number": "706-542-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADACH",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30332876",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Ayres
• B. Allen, Inc (Beltone Hearing Aid Center)
• David Wesley Bacastow, MD
• Bonnie Bachtel, CRNA
• Katherine Amelia Bacon, RN
• Issa Papiss Bagayogo, MD PHD
• Jeremy Bagge, PA-C
• Evan James Bagwell
• Stephanie N Bagwell, NP
• Candice A Bailey, CST

• Physician Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.