Active NPI
Altaf Ahmed, MD
- Physical Medicine & Rehabilitation Physician
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 83038
- Practice address
- 805 Pamplico Hwy
Florence, SC 29505-6047 - Phone
- (843) 674-2500
- NPI assigned
- Nov 7, 2005
- Last updated
- Dec 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 83038 | SC | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 2002-0482 | NM |
Addresses
Primary practice location
805 Pamplico Hwy
Florence, SC 29505-6047
Mailing address
PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00029143 | Other | NM | RR MEDICARE |
| 043342357 | Other | NM | TRICARE |
| NM009E41 | Other | NM | BC/BS OF NM |
| 14529041 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, NC, SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83038 | SC | MD | Ophthalmology Physician |
| 2002-0482 | NM | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC-Las Cruces Inc | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| PHC Las Cruces Inc. | Current | Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| PHC Las Cruces Inc | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
190 Kimel Park Dr
Ste 131
Winston Salem, NC 27103
Phone (336) 718-5763
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MUSC Physicians PCP
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba CHRISTUS Southern New Mexico
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1164445136
-
dba MUSC Physicians PC
- Internal Medicine Physician
- Lancaster, SC
- NPI 1275564098
-
dba Novant Health Physical Medicine & Rehab
- Physical Therapist
- Winston Salem, NC
- NPI 1265080089
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba CHRISTUS Pharmacy (Downtown)
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
-
dba Memorial Medical Center-Ikard Cancer Center
- Specialist
- Las Cruces, NM
- NPI 1497069397
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1073594230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603898",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603898",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 PAMPLICO HWY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056047",
"telephone_number": "843-674-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "ALTAF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "83038",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NM",
"license": "2002-0482",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00029143",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "043342357",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NM",
"identifier": "NM009E41",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14529041",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.