Mazen Bassam Omar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD.41948 Issued in AL

Practice address

203 West Avalon Ave Ste 100
Muscle Shoals, AL 35661

Phone

(256) 386-4940

Fax

(256) 386-4944

NPI assigned

Mar 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TX2 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 2

Specialty

Psychiatry

Education

University of South Alabama College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shoals Health Group LLCGroup PAC ID 6800033192, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mazen.omar.p1@direct.accordiahealth.nextgenshare.com
• Direct secure messaging: mazen.omar.1@6239.direct.athenahealth.com
• Direct secure messaging: mazen.omar.1@22469.direct.athenahealth.com
• FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

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.

• Shoals Health Group LLC

  • Internal Medicine Physician
  • Muscle Shoals, AL
  • NPI 1073851630

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Altapointe Health Systems, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1518095413
  Medicare reassignment NPD
• Behavioral Health of North Texas LLP

  • Prescribing (Medical) Psychologist
  • Dallas, TX
  • NPI 1699328195
  Medicare reassignment NPD
• Altapointe Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Foley, AL
  • NPI 1003707332
  NPD
• RCHP - Florence LLC

  • General Acute Care Hospital
  • Muscle Shoals, AL
  • NPI 1699096552
  NPD (past)
• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  NPD (past)

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

• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  Care Compare affiliation

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1114488467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WEST AVALON AVE STE 100",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-386-4940",
            "fax_number": "256-386-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WEST AVALON AVE STE 100",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-386-4940",
            "fax_number": "256-386-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "MAZEN",
        "middle_name": "BASSAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "317497",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.165907",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V8509",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.41948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Alabama Cancer Center PC
• Northwest Alabama Council of Local Governments
• Northwest Alabama Home Health, LLC
• Nathaniel Nunez, DC
• Karen Hampton Oldham, DC
• Options Wellness Center, LLC
• Options Wellness, LLP
• Tracey Louise Owen, NP
• Clayton Jacob Pace, D.C.
• Agasanakatte Palakshappa, MD

• Psychiatry Physician in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.