NPIMap

Organization Active NPI

Optimed Hospitalists

  • Hospitalist Physician
  • Statesville, NC
National Provider Identifier
1235449125
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
OPTIMED HOSPITALISTS
Practice address
557 Brookdale Drive
Statesville, NC 28677-4107
Phone
(704) 873-5661
NPI assigned
Oct 14, 2010
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Dr. Mahdi I Ajjan, M.D.NPI 1336160670
Title
President
Phone
(704) 575-5929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

557 Brookdale Drive
Statesville, NC 28677-4107

Mailing address

210 Delburg St
Davidson, NC 28036-8655
Phone (980) 259-2498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101201000378 NC Part B Supplier - Clinic/Group Practice 8022204171 Receives reassigned benefits from 72 practitioners
1 other NPI on this enrollment
Practice locations: Statesville, NC; Shelby, NC; Harmony, NC; Albemarle, NC
O20260330002447 SC Part B Supplier - Clinic/Group Practice 8022204171 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Hill, SC; Fort Mill, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

210 Delburg St
Davidson, NC 28036
Phone (404) 480-0911

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cleveland PinesShelby, NC, CCN 345282 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 22, 2017
Jul 29, 2025
Stanly ManorAlbemarle, NC, CCN 345281 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 22, 2017
May 5, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Ahsnf, Inc

    dba Cleveland Pines

    • Skilled Nursing Facility
    • Shelby, NC
    • NPI 1710537998

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Ahsnf, Inc

    dba Stanly Manor

    • Skilled Nursing Facility
    • Albemarle, NC
    • NPI 1891346797

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 79

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.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1235449125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 DELBURG ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368655",
            "telephone_number": "980-259-2498",
            "fax_number": "844-998-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 BROOKDALE DRIVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-873-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMED HOSPITALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "AJJAN",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-575-5929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.