BEVERLY KHODRA MD - NPI 1205499308 - Family Medicine in Calhoun, GA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Beverly Khodra Md NPPES

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

BEVERLY KHODRA MD (NPI 1205499308) is an individual family medicine provider in Calhoun, Georgia, licensed in Georgia (110893) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205499308

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBEVERLY KHODRACredential: MD

Location Address855 CURTIS PKWY SECalhoun, GA 30701-3688

Mailing Address855 Curtis Pkwy SeCalhoun, GA 30701-3688 · (706) 624-5100

Phone(706) 624-5100

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 16, 2019

Last NPPES UpdateMarch 8, 20264 updates tracked since enumeration

NPPES CertifiedMarch 8, 2026

✔ NPI 1205499308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 110893✔ Licensed in WA · MD61224464

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.

855 CURTIS PKWY SE, Calhoun, GA 30701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Khodra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810224540

PECOS Enrollment IDI20260513003526

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500036

Location2811 Tieton DriveYakima, WA 98902 · Yakima County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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