Khaled Nadim Abu-Hamdan, M. D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

16335 Issued in MS

Practice address

3550 Highway 468 West
Whitfield, MS 39193

Phone

(601) 351-8000

Fax

(601) 351-8301

NPI assigned

Feb 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, LA2 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

PsychiatryAlso: Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Carroll Health Systems, LLCGroup PAC ID 5294627774, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abu-hamdan_khaled_n_-_md@yourcarecommunity.org
• Direct secure messaging: khaled.abu-hamdan.1@13136.direct.athenahealth.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.

• West Carroll Health Systems LLC

  • General Acute Care Hospital
  • Oak Grove, LA
  • NPI 1386700888
  Medicare reassignment Care Compare group NPD
• Delta Medical Group

  • Emergency Medicine Physician
  • Greenville, MS
  • NPI 1790701134
  Medicare reassignment NPD
• Dr Hamdan Psychiatric Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, MS
  • NPI 1225278716
  Medicare reassignment NPD
• Wellness Oasis Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, MS
  • NPI 1720864796
  Medicare reassignment NPD
• Region VI Community Mental Health Commission

  dba Life Help

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1154433233
  NPD
• West Carroll Health Systems LLC

  dba West Carroll Memorial Hospital

  • General Acute Care Hospital
  • Oak Grove, LA
  • NPI 1306843826
  NPD
• Allegiance Specialty Hospital of Greenville, LLC

  • Psychiatric Hospital Unit
  • Greenville, MS
  • NPI 1871269480
  NPD (past)
• Delta Community Mental Health

  • Case Management Agency
  • Greenville, MS
  • NPI 1831206572
  NPD (past)
• Delta Physician Practices

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1598086639
  NPD (past)
• Garden Park

  dba Region VI Mental Health/Mental Retardation Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1932437209
  NPD (past)
• PHC-Cleveland LLC

  dba Bolivar Medical Center

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  NPD (past)
• West Carroll Health Systems LLC

  dba Community Medical Clinic

  • Rural Health Clinic/Center
  • Oak Grove, LA
  • NPI 1356324362
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PHC-Cleveland LLC

  dba Bolivar Medical Center

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356482459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157A",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 WEST",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "39193",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU-HAMDAN",
        "first_name": "KHALED",
        "middle_name": "NADIM",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "16335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123298",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kody Bailey
• Sierra Barnes
• Raviteja Bethi, MD
• Mariah Maxine Bohl, MD
• Elizabeth P Bragg, CFNPC

• Psychiatry Physician in Whitfield, MS
• Providers in Whitfield, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.