NPIMap

Individual provider Active NPI

Ahmad A Haidar, MD

  • Internal Medicine Physician
  • Carriere, MS
National Provider Identifier
1407837503
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13678 Issued in MS
Practice address
200 Country Club Rd
Carriere, MS 39426-9037
Phone
(601) 799-4777
Fax
(601) 799-0052
NPI assigned
Nov 7, 2005
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13678 MS Primary

Addresses

Primary practice location

200 Country Club Rd
Carriere, MS 39426-9037

Mailing address

200 Country Club Rd
Carriere, MS 39426
Phone (601) 799-4777

Other identifiers 5

IdentifierTypeStateIssuer
1658723MedicaidLA
302G709744OtherMSMEDICARE GROUP
00112453MedicaidMS
09520729OtherMSMEDICAID GROUP
110240293OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000141 MS Practitioner - Internal Medicine 1254426760 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Mississippi LLCGroup PAC ID 3678887700, 18 clinicians
Magnolia Urgent CareGroup PAC ID 0547780348, 8 clinicians

Practice addresses (Care Compare)

200 Golf Course Dr
Carriere, MS 39426-9037
Phone (601) 699-9846

232 Market St
Flowood, MS 39232-3339
Phone (337) 991-9276

6370 Hwy 11
Picayune, MS 39466-2349
Phone (601) 569-9212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Mississippi LLC CurrentSince Feb 14, 2024 Accepting new patients
Picayune Internal Medicine CurrentSince May 23, 2022 Accepting new patients
Magnolia Urgent Care CurrentSince Dec 8, 2024 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Feb 8, 2013 Accepting new patients
CH MSSP Services Ms LLC Internal Medicine CurrentSince Dec 7, 2024 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Paragon Contracting Services LLC Past Accepting new patients
Nexion Health at Picayune, Inc. Past Accepting new patients
Bedford Care Center-Warren Hall, LLC Past Accepting new patients

Locations

200 Golf Course Dr
Carriere, MS 39426
Phone (601) 699-9846

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

6370 Highway 11 N
Picayune, MS 39466
Phone (601) 569-9212

Interoperability endpoints

  • Direct secure messaging: ahmad.haidar.1@27026.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27026/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1407837503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COUNTRY CLUB RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "39426",
            "telephone_number": "601-799-4777",
            "fax_number": "601-799-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COUNTRY CLUB RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394269037",
            "telephone_number": "601-799-4777",
            "fax_number": "601-799-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDAR",
        "first_name": "AHMAD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1658723",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "302G709744",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112453",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "09520729",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110240293",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carriere, MS

Sources for this page

Verify at the official NPI Registry.