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Contact Information

BADIA MEDICAL, LLC
107 PEACOCK DRIVE
WARNER ROBINS, GA31088
 Phone: 478-922-3074
 Fax: 478-922-3076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BADIA MEDICAL, LLC

NPI Number 1679584601
LBN Legal business name BADIA MEDICAL, LLC
Authorized official OMOROGIUWA IGUOBADIA - (PHYSICIAN OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 01/27/2026 - About 4 months ago
Identifiers
GA License # 047353
GA Medicaid 000834809
GA Medicaid 003171301
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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