Individual provider Active NPI

Altaf Ahmed, MD

  • Physical Medicine & Rehabilitation Physician
  • Florence, SC
National Provider Identifier
1073594230
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
83038 Issued in SC
Practice address
805 Pamplico Hwy
Florence, SC 29505-6047
Phone
(843) 674-2500
NPI assigned
Nov 7, 2005
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00029143OtherNMRR MEDICARE
043342357OtherNMTRICARE
NM009E41OtherNMBC/BS OF NM
14529041MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NC, SC, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100616000337 NM Practitioner - Physical Medicine and Rehabilitation 0941248488 Reassigns benefits to 2 organizations
I20201124002734 NC Practitioner - Physical Medicine and Rehabilitation 0941248488 Reassigns benefits to 1 organization
I20210727000166 SC Practitioner - Physical Medicine and Rehabilitation 0941248488 Reassigns benefits to 1 organization
I20240424003631 FL Practitioner - Physical Medicine and Rehabilitation 0941248488 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83038SCMDOphthalmology Physician
2002-0482NMMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PHC-Las Cruces Inc Current Accepting new patients
Carolina Family Care, Inc CurrentSince Jul 15, 2021 Accepting new patients
Otero County Hospital Association CurrentSince Oct 27, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 21, 2020 Accepting new patients
Carolina Family Care, Inc CurrentSince Jul 15, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 21, 2020 Accepting new patients
PHC Las Cruces Inc. CurrentSince Jun 1, 2018 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Apr 12, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Oct 27, 2022 Accepting new patients
PHC Las Cruces Inc CurrentSince Jun 1, 2018 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.

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

Verify at the official NPI Registry.