BADIA MEDICAL, LLC
NPI 1144025784
Family Medicine in Cochran, GA

Active since February 18, 2025CLIA 11D1037139 · Waiver
179 W DYKES ST, COCHRAN, GA 31014(478) 922-3074 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Badia Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BADIA MEDICAL, LLC (NPI 1144025784), doing business as Cochran Family Medical Center, is a healthcare organization registered as a family medicine in Cochran, Georgia and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Ashley Defore, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1144025784
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBADIA MEDICAL, LLC
Location Address179 W DYKES STCochran, GA 31014-6921
Mailing Address107 Peacock DrWarner Robins, GA 31088-3637 · (478) 922-3074
Organization SubpartYesParent: Badia Medical Llc
Authorized OfficialAshley DeforeOffice Manager · (478) 922-3074
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1144025784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
179 W DYKES ST, Cochran, GA 31014

Other Names 1

Doing Business AsCochran Family Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Badia Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Badia Medical, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1104822964
179 W DYKES ST
Cochran, GA 31014
(478) 934-8200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255781308
222 PERRY HWY
Hawkinsville, GA 31036
(478) 783-2273
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1037139

Badia Medical LLC Dba Lifeguard Pediatrics · Warner Robins, GA
Active · expires Nov 28, 2026
CLIA Number11D1037139
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorOmorogiuwa Iguobadia
Laboratory Phone(478) 922-3074
Laboratory LocationBadia Medical LLC Dba Lifeguard Pediatrics107 Peacock Drive, Warner Robins, GA 31088
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Badia Medical, LLC's NPI number?

The NPI number for Badia Medical, LLC is 1144025784. It was assigned to this organization in the NPPES registry on February 18, 2025. The provider is doing business as Cochran Family MedicaL Center.

Where is Badia Medical, LLC located?

Badia Medical, LLC is located at 179 W Dykes St, Cochran, GA 31014. The listed phone number is (478) 922-3074.

What is Badia Medical, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Badia Medical, LLC enrolled in Medicare?

Yes. Badia Medical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Badia Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Badia Medical, LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Badia Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1037139) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Badia Medical, LLC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.