Individual provider Active NPI

Shakir Meghani, M.D.

  • Psychiatry Physician
  • Dothan, AL
National Provider Identifier
1407872948
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22917 Issued in AL
Practice address
2812 Hartford Hwy Ste 1
Dothan, AL 36305-4927
Phone
(334) 712-1170
Fax
(334) 460-8391
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22917 AL Primary

Addresses

Primary practice location

2812 Hartford Hwy Ste 1
Dothan, AL 36305-4927

Mailing address

2812 Hartford Hwy
Ste 1
Dothan, AL 36305-4927
Phone (334) 712-1170

Other practice location 1

1970 Andrews Ave
Ozark, AL 36360-3726
Phone (334) 774-1555

Other identifiers 2

IdentifierTypeStateIssuer
194886MedicaidAL
134226MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040312000947 AL Practitioner - Psychiatry 2961391404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Resource Managment of Wiregrass, LLCGroup PAC ID 5698714525, 10 clinicians

Practice addresses (Care Compare)

2812 Hartford Hwy
Suite 1
Dothan, AL 36305-4927
Phone (334) 712-1170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22917ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Resource Managment of Wiregrass, LLC Psychiatry Current Accepting new patients
Meghani Medical, PC Psychiatry Current Accepting new patients
Professional Resource Management of Wiregrass, LLC Psychiatry CurrentSince Nov 1, 2011 Accepting new patients
Professional Resource Management of Wiregrass, LLC CurrentSince Apr 28, 2005 Accepting new patients
David C Ghostley PSYD Inc Past Accepting new patients
Center for Counseling & Human Development Inc Past Accepting new patients
Spectracare Health Systems, Inc. PastSince Nov 11, 2009 Accepting new patients
Meghani Medical, PC PastSince Jul 12, 2004 Accepting new patients
Spectracare Integrated Services LLC PastSince Oct 15, 2019 Accepting new patients

Locations

2812 Hartford Hwy
#1
Dothan, AL 36305
Phone (334) 699-8622

1841 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 712-1170

1970 Andrews Ave
Ozark, AL 36360
Phone (334) 712-1170

218 Hospital Ave
Ozark, AL 36360
Phone (334) 774-1982

218 Hospital Ave
Ste C
Ozark, AL 36360
Phone (334) 774-1049

218 Hospital Ave
#F
Ozark, AL 36360
Phone (334) 774-1555

415 James St
Ste C
Ozark, AL 36360
Phone (334) 774-5005

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/
  • Direct secure messaging: alabamaclinics.shakirmeghani@157820.advancedmd-direct.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1407872948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 HARTFORD HWY",
            "address_2": "STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054927",
            "telephone_number": "334-712-1170",
            "fax_number": "334-460-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 HARTFORD HWY STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054927",
            "telephone_number": "334-712-1170",
            "fax_number": "334-460-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "AL",
            "postal_code": "363603726",
            "country_code": "US",
            "telephone_number": "334-774-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEGHANI",
        "first_name": "SHAKIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "22917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194886",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134226",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.