Individual provider Active NPI

Gerald N Kadis, M.D.

  • Neurological Surgery Physician
  • Thomasville, GA
National Provider Identifier
1942388087
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
020448 Issued in GA
Practice address
704 S Broad St
Thomasville, GA 31792-6107
Phone
(229) 226-8880
Fax
(229) 226-6342
NPI assigned
Nov 2, 2006
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 020448 GA Primary

Addresses

Primary practice location

704 S Broad St
Thomasville, GA 31792-6107

Mailing address

900 Cairo Rd
Thomasville, GA 31792-4255

Other identifiers 1

IdentifierTypeStateIssuer
002340118AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gerald.kadis.p24@direct.archbold.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000732 GA Practitioner - Neurosurgery 9234178427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
020448GAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archbold Medical Group, Inc. CurrentSince Aug 1, 2013 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Aug 1, 2013 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Archbold Medical Group Neurological Surgery PastSince Jan 1, 1979 Accepting new patients

Locations

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

704 S Broad St
Thomasville, GA 31792
Phone (229) 226-8880

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1942388087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926107",
            "telephone_number": "229-226-8880",
            "fax_number": "229-226-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIS",
        "first_name": "GERALD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-09-27",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "020448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002340118A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gerald.kadis.p24@direct.archbold.nextgenshare.com",
            "affiliation": "N",
            "address_1": "704 S Broad St",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317926107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.