NPIMap

Individual provider Active NPI

Rashad N. Ali, M.D.

  • Obstetrics & Gynecology Physician
  • Laurel, MS
National Provider Identifier
1649297201
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11627 Issued in MS
Practice address
103 South 12TH Avenue
Laurel, MS 39440
Phone
(601) 399-1970
Fax
(601) 399-7374
NPI assigned
Jul 17, 2006
Last updated
Jan 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11627 MS Primary

Addresses

Primary practice location

103 South 12TH Avenue
Laurel, MS 39440

Mailing address

P.O. Box 4361
Laurel, MS 39441-4361
Phone (601) 425-3033

Other identifiers 1

IdentifierTypeStateIssuer
00114254MedicaidMS

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
I20080304000652 MS Practitioner - Obstetrics/GynecologyPractitioner - Internal Medicine 5597848234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Center, IncGroup PAC ID 9638163348, 8 clinicians

Practice addresses (Care Compare)

713 Lomax Ave
Waynesboro, MS 39367-2556
Phone 6014253033157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center, Inc Obstetrics & Gynecology CurrentSince Aug 1, 2006 Accepting new patients
Family Health Center Inc CurrentSince Feb 1, 1995 Accepting new patients
Family Health Center, Inc Current Accepting new patients
South Central Regional Medical Center Past Accepting new patients

Locations

103 S 12th Ave
Laurel, MS 39440
Phone (601) 399-1970

117 S 11th Ave
Laurel, MS 39440
Phone (601) 425-3033

713 Lomax Ave
Waynesboro, MS 39367
Phone 6014253033157

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
OB/GYN Clinic at Family Health CenterLaurel, MS, CCN 251980 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Aug 1, 2006
Oct 31, 2008
Family Health Center, IncTaylorsville, MS, CCN 251979 Federally qualified health center Corporate Officer Aug 1, 2006
Family Health Center, IncLaurel, MS, CCN 251835 Federally qualified health center Corporate Officer (0.05%)
W-2 Managing Employee		 Aug 1, 2006
Aug 1, 2006
Family Health Center, IncSandersville, MS, CCN 251899 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Aug 1, 2006
Aug 1, 2006
Family Health Center, Inc.Waynesboro, MS, CCN 251067 Federally qualified health center Corporate Director (5%) Aug 1, 2006

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1649297201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4361",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394414361",
            "telephone_number": "601-425-3033",
            "fax_number": "601-422-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SOUTH 12TH AVENUE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-399-1970",
            "fax_number": "601-399-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "RASHAD",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "11627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114254",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.