Individual provider Active NPI

Magdi Tageldin, MD

  • Addiction Psychiatry Physician
  • Spanish Fort, AL
National Provider Identifier
1679661102
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
29986 Issued in AL
Practice address
7626 Spanish Fort Blvd
Spanish Fort, AL 36527-5376
Phone
(251) 288-2750
Fax
(251) 586-8599
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29986 AL
Psychiatry Physician 2084P0800X ME115308 FL
Addiction Psychiatry Physician 2084P0802X ME115308 FL
Addiction Psychiatry Physician 2084P0802X 29986 AL Primary

Addresses

Primary practice location

7626 Spanish Fort Blvd
Spanish Fort, AL 36527-5376

Mailing address

7626 Spanish Fort Blvd
Spanish Fort, AL 36527-5376
Phone (251) 288-2750

Other practice location 1

7101 US Highway 90 Ste 103
Daphne, AL 36526-9510
Phone (256) 975-4291

Other identifiers 2

IdentifierTypeStateIssuer
29986OtherALAL STATE LICENSE
ME115308OtherFLFLORIDA STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL officeally.com

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
I20101004000669 AL Practitioner - Psychiatry 2961694344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Alabama Behavioral Health Care SystemsGroup PAC ID 5395762835, 7 clinicians

Practice addresses (Care Compare)

129 Clark St
Grove Hill, AL 36451-3050
Phone (251) 275-4165

1321 McMillan Ave
Brewton, AL 36426-1324
Phone (251) 867-3242

220 Magnolia Ave
Evergreen, AL 36401-3156
Phone (251) 578-4545

328 W Claiborne St
Monroeville, AL 36460-1738
Phone (251) 575-4203

406 Medical Park Dr
Atmore, AL 36502-3016
Phone (251) 388-3820

530 Homandy Dr
Monroeville, AL 36460-8658
Phone (251) 575-4837

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29986ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Alabama Behavioral Health Care Systems CurrentSince Oct 21, 2013 Accepting new patients
Southwest Alabama Behavioral Health Care Systems Past Accepting new patients
Iop Behavioral Health, LLC PastSince May 31, 2024 Accepting new patients
Southwest Alabama Mental Health Past Accepting new patients
J Trice Psychiatric Services PC PastSince Mar 1, 2020 Accepting new patients

Locations

1321 McMillan Ave
Brewton, AL 36426
Phone (251) 867-3242

220 Magnolia Ave
Evergreen, AL 36401
Phone (251) 578-4545

129 Clark St
Grove Hill, AL 36451
Phone (251) 275-4165

530 Hornady Dr
Monroeville, AL 36460
Phone (251) 575-4837

1000 Urban Center Dr
Ste 600
Vestavia, AL 35242
Phone (205) 208-0312

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/swamh/r4/

Organizations & group practices 5

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1679661102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 SPANISH FORT BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275376",
            "telephone_number": "251-288-2750",
            "fax_number": "251-586-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 SPANISH FORT BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275376",
            "telephone_number": "251-288-2750",
            "fax_number": "251-586-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 US Highway 90 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365269510",
            "country_code": "US",
            "telephone_number": "256-975-4291",
            "fax_number": "256-429-9411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGELDIN",
        "first_name": "MAGDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "29986",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME115308",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME115308",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "AL",
            "license": "29986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL STATE LICENSE",
            "identifier": "29986",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "ME115308",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "officeally.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "7626 Spanish Fort Blvd",
            "city": "Spanish Fort",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365275376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

Verify at the official NPI Registry.