M. Tahir Qayyum, MD, PMC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

10850R Issued in LA

Legal business name

M. TAHIR QAYYUM, MD, PMC

Doing business as

Family Medicine Center

Practice address

540 Durham Street
Bastrop, LA 71220

Phone

(318) 283-2200

Fax

(318) 283-1200

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. M. Tahir Qayyum, M.D.

Title

Owner

Phone

(318) 283-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Medicine Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tahir M Qayyum, MD

  • Family Medicine Physician
  • Bastrop, LA
  • NPI 1083714117
  Medicare reassignment NPD
• Emelia Animah Annoh, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1063513190
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1487821708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 DURHAM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205013",
            "telephone_number": "318-283-2200",
            "fax_number": "318-283-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 DURHAM STREET",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "71220",
            "telephone_number": "318-283-2200",
            "fax_number": "318-283-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. TAHIR QAYYUM, MD, PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "QAYYUM",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "TAHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-283-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "10850R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447111",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisha Love
• Tania Lovell
• Ashton Hope Lowery, PHARMD
• Joey S Lowery, D.C.
• LRT Logistics
• Jenna Ladart Mackey, FNP-C
• Arthur Madison
• Mahmoud Sheikh-Khalil MD Apmc
• Shahzad M. Malik, M.D.
• Paula Manning, RPH

• Clinic/Center in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.