Individual provider Active NPI

Abubakar Mohammed Naida, MD

  • Pediatrics Physician
  • Bolivar, TN
National Provider Identifier
1235189408
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40393 Issued in TN
Practice address
627 Nuckolls Road
Bolivar, TN 38008
Phone
(731) 600-1063
NPI assigned
May 11, 2006
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Pediatrics Physician 208000000X 40393 TN Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 40393 TN

Addresses

Primary practice location

627 Nuckolls Road
Bolivar, TN 38008

Mailing address

PO Box 720
Bolivar, TN 38008-0720
Phone (731) 600-1063

Other names 1

  • Dr. Abubakar Mohammed Naida Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080226000780 TN Practitioner - Pediatric Medicine 7315021573 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hardeman County Community Health Center CurrentSince Feb 1, 2024 Accepting new patients
Hardeman County Community Health Center CurrentSince Feb 1, 2024 Accepting new patients

Locations

627 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 600-1063

629 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 658-3388

Interoperability endpoints

  • Direct secure messaging: abubakar.naida.1@27086.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1235189408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380080720",
            "telephone_number": "731-600-1063",
            "fax_number": "731-659-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 NUCKOLLS ROAD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "38008",
            "telephone_number": "731-600-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDA",
        "first_name": "ABUBAKAR",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "40393",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TN",
            "license": "40393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABUBAKAR",
            "last_name": "NAIDA",
            "middle_name": "MOHAMMED",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bolivar, TN

Sources for this page

Verify at the official NPI Registry.