Mohammed Taher Al-Taher I, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

41183 Issued in TN

Practice address

3173 Kirby Whitten Rd Ste 104
Bartlett, TN 38134-2881

Phone

(901) 380-8040

Fax

(901) 309-8784

NPI assigned

Mar 14, 2006

Last updated

Oct 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN2 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

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatry Group PLLCGroup PAC ID 1456313006, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maltaher30040@mlh.direct-ci.com

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.

• Psychiatry Group PLLC

  • Psychiatry Physician
  • Bartlett, TN
  • NPI 1932204690
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1235107368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 VICKERY LN STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160631",
            "telephone_number": "901-737-1992",
            "fax_number": "901-309-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 KIRBY WHITTEN RD STE 104",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342881",
            "telephone_number": "901-380-8040",
            "fax_number": "901-309-8784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 Browns Lane",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724017213",
            "country_code": "US",
            "telephone_number": "870-972-4961",
            "fax_number": "870-972-4088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3960 New Covington Pike",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381282504",
            "country_code": "US",
            "telephone_number": "901-575-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-TAHER",
        "first_name": "MOHAMMED",
        "middle_name": "TAHER",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "41183",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E3044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11591588",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134589726",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advantage Care Medical Supplies (Advantage Care Medical)
• Affordable Financial Services (Elite Nursing Service)
• Agilitas USA, Inc. (Results Physiotherapy)
• Mohamad J Akbik, M.D.
• Catherine Michelle Akridge
• Sue Ellen Alexander
• Mahmood Ali, M.D.
• All & All Diagnostics
• All Tennessee Care Givers, Inc
• Alliance Diabetic Supply

• Psychiatry Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.