NPIMap

Individual provider Active NPI

Sher M Ghori, MD

  • Neurology Physician
  • Dothan, AL
National Provider Identifier
1043262736
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
00023730 Issued in AL
Practice address
1369 W Main St Ste 2
Dothan, AL 36301-1309
Phone
(334) 792-8679
Fax
(877) 361-4549
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 00023730 AL Primary

Addresses

Primary practice location

1369 W Main St Ste 2
Dothan, AL 36301-1309

Mailing address

1369 W Main St Ste 2
Dothan, AL 36301-1309
Phone (334) 792-8679

Other identifiers 3

IdentifierTypeStateIssuer
000898851AMedicaidGA
009949940MedicaidAL
51501438OtherALBCBS ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001624 AL Practitioner - Neurology 9739171661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1369 W Main St
Dothan, AL 36301-1309
Phone (334) 792-8679

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00023730ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Current Accepting new patients
Houston County Healthcare Authority Neurology CurrentSince Dec 3, 2017 Accepting new patients
Ghori LLC CurrentSince Oct 1, 2005 Accepting new patients
Houston County Healthcare Authority Neurology CurrentSince Dec 3, 2017 Accepting new patients
Southwood Radiology PastSince Apr 30, 2003 Accepting new patients
Southern Sleep Clinics LLC PastSince Sep 28, 2007 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1369 W Main St
Ste 2
Dothan, AL 36301
Phone (334) 792-8679

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 301
Dothan, AL 36301
Phone (334) 792-8675

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1369 W Main St
Dothan, AL 36301
Phone (334) 792-2939

1118 Ross Clark Cir
Ste 704
Dothan, AL 36301
Phone (334) 794-5335

Interoperability endpoints

  • Direct secure messaging: sghori14300@southeasthealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBCABD/Endpoint/BBCABD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1043262736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 W MAIN ST STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011309",
            "telephone_number": "334-792-8679",
            "fax_number": "877-361-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 W MAIN ST STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011309",
            "telephone_number": "334-792-8679",
            "fax_number": "877-361-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHORI",
        "first_name": "SHER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "00023730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000898851A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009949940",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALABAMA",
            "identifier": "51501438",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.