Syed Ahmed
Individual provider Active NPI Family Medicine Physician · Montgomery, AL
NPI 1477087427 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1477087427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD.41332 (AL)
- Practice address
- 4035 Atlanta Hwy
Montgomery, AL 36109-2920 - Phone
- (334) 603-8708
- Fax
- (334) 603-8709
- NPI assigned
- Apr 17, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Services Inc
Practice addresses (Care Compare)
1845 Cherry St
Montgomery, AL 36107-2613
Phone (334) 420-5001
30 Main St
Eclectic, AL 36024-6280
Phone (334) 541-2116
Hospital & facility affiliations
- Jackson Hospital & Clinic Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230621001018 | AL | Practitioner - Family Practice | 3678844784 | Reassigns benefits to 2 organizations |
| I20260422000370 | PA | Practitioner - Family Practice | 3678844784 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.41332 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services Inc | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Current |
Accepting new patients | |
| Horizon Care Solutions PLLC | Family Medicine | Current | Accepting new patients |
| Health Services Inc | Current |
Accepting new patients | |
| Health Services, Inc. | Current |
Accepting new patients | |
| Jackson Hospital and Clinic Inc | Family Medicine | Current |
Accepting new patients |
| Apex Health Partners PLLC | Family Medicine | Current | Accepting new patients |
| Jackson Hospital and Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| Health Services Inc | Past | Accepting new patients |
Locations
4035 Atlanta Hwy
Montgomery, AL 36109
Phone (334) 323-4000
2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009
1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD.41332 | AL | Yes |
Addresses
Primary practice location
4035 Atlanta Hwy
Montgomery, AL 36109-2920
Mailing address
1722 Pine St Ste 203
Montgomery, AL 36106-1158
Phone (334) 293-8736
Other practice location 1
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
Other providers in Montgomery, AL
- Himanshu Aggarwal
- Sonya Aghili-Mehrizi
- Agilitas USA, Inc
- Muhammad Ahmad
- M. Luqman Ahmed
- Jennifer Dahae Ahn
- Aikam Health
- Aim 2016, Inc
- Erin Ainsworth
- Sidney Nnamdi Akabogu
All providers in Montgomery, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.