Individual provider Active NPI

Mohsen S. Bahna, M.D.

  • Emergency Medicine Physician
  • Kenansville, NC
National Provider Identifier
1477529220
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9800181 Issued in NC
Practice address
401 N. Main Street
Kenansville, NC 28349
Phone
(910) 296-0941
Fax
(910) 296-2034
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9800181 NC Primary

Addresses

Primary practice location

401 N. Main Street
Kenansville, NC 28349

Mailing address

5813 Glenfiddich Way
Raleigh, NC 27613-6032
Phone (919) 845-0666

Other identifiers 2

IdentifierTypeStateIssuer
1158WOtherNCBLUECROSS BLUESHIELD
891158WMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040329000498 NC Practitioner - Emergency Medicine 2668364191 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9800181NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Neuse River Emergency Physicians Emergency Medicine Past Accepting new patients
North Carolina Em-I Medical Services PC Emergency Medicine Past Accepting new patients
Franklin Regional Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
NC Emergency Physician Partners PLLC Emergency Medicine Past Accepting new patients
National Emergency Services North Carolina Inc Emergency Medicine Past Accepting new patients
Golden Grove Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477529220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 GLENFIDDICH WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136032",
            "telephone_number": "919-845-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N. MAIN STREET",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "28349",
            "telephone_number": "910-296-0941",
            "fax_number": "910-296-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNA",
        "first_name": "MOHSEN",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9800181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1158W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891158W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenansville, NC

Sources for this page

Verify at the official NPI Registry.