Fawaz Abdrabbo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

16283 Issued in MS

Practice address

625 Highland Colony Pkwy
Suite 101
Ridgeland, MS 39157

Phone

(601) 853-2676

Fax

(601) 853-9535

NPI assigned

Dec 5, 2005

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Oct 1, 2012 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mississippi Neuropsychiatric Clinic, PLLC

  • Psychiatry Physician
  • Ridgeland, MS
  • NPI 1952503286
  NPD
• Fawaz Abdrabbo MD

  • Psychiatry Physician
  • Ridgeland, MS
  • NPI 1285836528
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1760466551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-853-2676",
            "fax_number": "601-853-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-853-2676",
            "fax_number": "601-853-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDRABBO",
        "first_name": "FAWAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "16283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120960",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Bridge to Recovery
• A Focused Brain, LLC
• A Place of Refuge LLC
• A Touch of Loving Hands LLC
• A Turning Point Recovery
• Abiding Love and Assistance Sitting Agency
• Abigayle Adult Day Care
• Abode Care Partners Al VB, LLC
• Abode Care Partners LTC VB, LLC
• Abode Care Partners VB, LLC

• Psychiatry Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.