NPIMap

Individual provider Active NPI

Emad Hashim Mohamed, M.D.

  • Cardiovascular Disease Physician
  • Jackson, TN
National Provider Identifier
1699708008
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
53599 Issued in TN
Practice address
17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone
(731) 512-0104
Fax
(731) 668-7388
NPI assigned
Jul 9, 2006
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 16576 MS
Cardiovascular Disease Physician 207RC0000X 53599 TN Primary

Addresses

Primary practice location

17 Centre Plaza Dr
Jackson, TN 38305-2862

Mailing address

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104

Other identifiers 1

IdentifierTypeStateIssuer
04979841MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160518002445 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486642519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Clinics PLCGroup PAC ID 5193022994, 14 clinicians

Practice addresses (Care Compare)

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.82 of 100Reported as group
Quality
59.16
Promoting interoperability
95
Improvement activities
40
Cost
85.31

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
79.9
Improvement activities
40
Cost
80.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Eye Clinic, PC CurrentSince Jun 23, 2020 Accepting new patients
Mid - South Heart Center PC CurrentSince May 1, 2020 Accepting new patients
Delta Clinics, PLC Cardiovascular Disease CurrentSince Oct 1, 2023 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients
Yuma Advanced Lab LLC Past Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. Past Accepting new patients
Baptist Memorial Health Services Inc of Mississippi Past Accepting new patients
Southwest Heart and Vascular Care, LTD. Cardiovascular Disease Past Accepting new patients

Locations

1215 E College St
Brownsville, TN 38012
Phone (731) 512-0104

1340 Union University Dr
Jackson, TN 38305
Phone (731) 215-1281

17 Centre Plaza Dr
Jackson, TN 38305
Phone (731) 512-0104

48 Medical Center Dr
Jackson, TN 38301
Phone (731) 423-8383

Interoperability endpoints

  • Direct secure messaging: emad.mohamedmd.p1@direct.midsouthheartcenter.nextgenshare.com
  • Direct secure messaging: emadmohamed@acvcpc.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1699708008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CENTRE PLAZA DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052862",
            "telephone_number": "731-512-0104",
            "fax_number": "731-668-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CENTRE PLAZA DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052862",
            "telephone_number": "731-512-0104",
            "fax_number": "731-668-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "EMAD",
        "middle_name": "HASHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "16576",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "53599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04979841",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.