Organization Active NPI

Mahmood 'Tony' Ali, MD

Doing business as Adult and Adolescent Medicine Clinics, PLLC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1205975075
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000030021 Issued in TN
Legal business name
MAHMOOD 'TONY' ALI, MD
Doing business as
Adult and Adolescent Medicine Clinics, PLLC
Practice address
3294 Poplar Ave
Suite 100
Memphis, TN 38111-4649
Phone
(901) 362-8671
Fax
(901) 458-4896
NPI assigned
Feb 6, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Mahmood Ali, MDNPI 1518918937
Title
President
Phone
(901) 362-8671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD0000030021 TN Primary

Addresses

Primary practice location

3294 Poplar Ave
Suite 100
Memphis, TN 38111-4649

Mailing address

PO Box 1000
Dept 583
Memphis, TN 38148-0001
Phone (901) 362-8671

Other identifiers 2

IdentifierTypeStateIssuer
3832363MedicaidTN
00125928MedicaidMS

Other names 1

  • ADULT AND ADOLESCENT MEDICINE CLINICS, PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1205975075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 583",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-362-8671",
            "fax_number": "901-458-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 POPLAR AVE",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114649",
            "telephone_number": "901-362-8671",
            "fax_number": "901-458-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOOD 'TONY' ALI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-362-8671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000030021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3832363",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125928",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADULT AND ADOLESCENT MEDICINE CLINICS, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.