Individual provider Active NPI

Amal Idris Ahmed Elhaj, MD

  • Neurology Physician
  • Belmont, NC
National Provider Identifier
1144647041
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2019-00271 Issued in NC
Practice address
1212 Spruce St
Belmont, NC 28012-3385
Phone
(704) 865-1700
Fax
(704) 865-7948
NPI assigned
Mar 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 2019-00271 NC Primary

Addresses

Primary practice location

1212 Spruce St
Belmont, NC 28012-3385

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aelhaj303466@direct.vidanthealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200827000232 NC Practitioner - Neurology 4284984691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

815 Cox Rd
Gastonia, NC 28054-3453
Phone (704) 865-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00271NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Mar 20, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 31, 2020 Accepting new patients
Caromont Medical Group Inc Neurology CurrentSince Mar 20, 2024 Accepting new patients
Caromont Medical Group Inc Neurology Current Accepting new patients
Caromont Medical Group Inc Past Accepting new patients

Locations

1212 Spruce St
Belmont, NC 28012
Phone (704) 825-5677

936 Cox Rd
Gastonia, NC 28054
Phone (704) 671-5343

815 Cox Rd
Gastonia, NC 28054
Phone (704) 865-1700

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Organizations & group practices 6

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 1

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1144647041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SPRUCE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123385",
            "telephone_number": "704-865-1700",
            "fax_number": "704-865-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAJ",
        "first_name": "AMAL",
        "middle_name": "IDRIS AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2019-00271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aelhaj303466@direct.vidanthealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9 medical drive",
            "address_2": "Building 9 A",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278352818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.