Hamad Ahmad, MD
Individual provider Active NPI Family Medicine Physician · Millington, TN
NPI 1013271485 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1013271485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E-12132 (AR)
- Practice address
- 4772 Navy Rd
Suite a
Millington, TN 38053-1927 - Phone
- (901) 873-0930
- Fax
- (901) 873-0931
- NPI assigned
- Jun 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hamad Ahmad MD PC
Practice addresses (Care Compare)
176 Goodman Rd W
Southaven, MS 38671-9405
Phone (662) 683-1140
4772 Navy Rd
Millington, TN 38053-1927
4772 Navy Rd
Suite a
Millington, TN 38053-1957
6490 Memphis Arlington Rd
Suite 106
Bartlett, TN 38135-7439
Phone (901) 762-1531
Hospital & facility affiliations
- Beacon Home Health
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital
- Baptist Memorial Hospital Tipton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120807000617 | TN | Practitioner - Family Practice |
3072769074 | Reassigns benefits to 3 organizations |
| I20190405001623 | MS | Practitioner - Family Practice | 3072769074 | Reassigns benefits to 2 organizations |
| I20191125001145 | AR | Practitioner - Emergency Medicine | 3072769074 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (7 of 19)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamad Ahmad MD PC | Family Medicine | Current |
Accepting new patients |
| Cornerstone Rehabilitation of Batesville Inc | Current |
Accepting new patients | |
| East Arkansas Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Hamad Ahmad MD PC | Family Medicine | Current |
Accepting new patients |
| Hamad Ahmad MD PC | Family Medicine | Current |
Accepting new patients |
| East Arkansas Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Francis J. Fenaughty MD, P.C. | Emergency Medicine | Past | Accepting new patients |
Locations
1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300
611 W Lee Ave
Osceola, AR 72370
Phone (870) 563-7000
287 Highway 6 W
Batesville, MS 38606
Phone (662) 563-7651
176 Goodman Rd W
Southaven, MS 38671
Phone (662) 536-1020
50 S Main St
Water Valley, MS 38965
Phone (662) 473-1667
853 W Poplar Ave
Collierville, TN 38017
Phone (901) 673-1240
1645 N Germantown Pkwy
Cordova, TN 38016
Phone (901) 290-4488
9301 Poplar Ave
Germantown, TN 38138
Phone (901) 587-6100
4772 Navy Rd
Ste A
Millington, TN 38053
Phone (901) 873-0570
4772 Navy Rd
Ste B
Millington, TN 38053
Phone (901) 873-0572
4772 Navy Rd
Millington, TN 38053
Phone (516) 637-7609
Networks
- MS PPO D-SNP
- KY PPO
- AL HMO D-SNP
- KY PPO C-SNP
- MS PPO
- MS PPO C-SNP
- TN PPO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- TN PPO C-SNP
- AL HMO
Interoperability endpoints
- hahmad99032@mlh.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-12132 | AR | |
| Family Medicine Physician | 207Q00000X | 48437 | TN | |
| Family Medicine Physician | 207Q00000X | E-12132 | AR | Yes |
Addresses
Primary practice location
4772 Navy Rd
Suite a
Millington, TN 38053-1927
Mailing address
4772 Navy Rd
Suite a
Millington, TN 38053-1927
Phone (901) 873-0930
Other practice location 1
1520 North Division Street
Blytheville, AR 72315-1927
Phone (870) 838-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q021626 | Medicaid | TN |
Other providers in Millington, TN
- Agilitas USA, Inc
- Omar Ahmad
- Cale Porter Alexander
- Janice Skinner Algea
- William David Algea
- William Leroy Algea III
All providers in Millington, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.