Organization Active NPI

Rush Neurology Associates, PLLC

  • Neurology Physician
  • Meridian, MS
National Provider Identifier
1104884139
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
RUSH NEUROLOGY ASSOCIATES, PLLC
Practice address
1800 12TH St
Suite 2a
Meridian, MS 39301-4158
Phone
(601) 703-4366
Fax
(601) 703-4064
NPI assigned
May 1, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Rafique Ahmad, M.D.
Title
Owner
Phone
(205) 459-4778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

1800 12TH St
Suite 2a
Meridian, MS 39301-4158

Mailing address

PO Box 288
Meridian, MS 39302-0288
Phone (601) 703-9506

Other identifiers 4

IdentifierTypeStateIssuer
07837071MedicaidMS
DA7862OtherRAILROAD MEDICARE
264359700OtherUS DEPT OF LABOR W/C
529918060MedicaidAL

National Provider Directory

National Provider Directory

Locations

1800 12th St
#2A
Meridian, MS 39301
Phone (601) 703-4366

1800 12th St
Ste 2A
Meridian, MS 39301
Phone (601) 703-4366

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1104884139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393020288",
            "telephone_number": "601-703-9506",
            "fax_number": "601-703-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 12TH ST",
            "address_2": "SUITE 2A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014158",
            "telephone_number": "601-703-4366",
            "fax_number": "601-703-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH NEUROLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "RAFIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-459-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07837071",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR W/C",
            "identifier": "264359700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529918060",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.