P Praxis·MD
● Active Type 1 · Individual

Khalia Reanne Dade

Specialist/Technologist·Valdosta, GA· NPI 1740137199 · Enumerated 2026 · 0 years on NPI
Dade is 1 of 1 specialist/technologist providers in Valdosta and 1 of 25 in Georgia.
NPI age
— years
Enumerated 2026-03-13
Primary specialty
Specialist/Technologist
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 25 active specialist/technologist providers in Georgia.

NPI age
0 years
↓ 8 yr below median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-03Enumerated in NPPES
2026 2026

Where they practice

Practice location
2507 Churchill Dr
Valdosta, GA 316022547
📞 9518074723
Mailing address
2507 Churchill Dr
Valdosta, GA 316022547

Specialties

  • Specialist/Technologist Primary
    Definition to come...
    CA license #5347 taxonomy 2355S0801X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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