Shabana M Jaffri

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD29440 Issued in AL

Practice address

1108 Ross Clark Cir
Dothan, AL 36301-3022

Phone

(251) 776-0521

NPI assigned

Nov 17, 2006

Last updated

Jan 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shabana Mahmood Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Psychiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Florida Behavioral Health IncGroup PAC ID 9537126222, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
• Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124

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.

• West Florida Behavioral Health Inc

  • Geriatric Psychiatry Physician
  • Pensacola, FL
  • NPI 1457336604
  Medicare reassignment Care Compare group NPD
• West Florida Regional Medical Center, Inc.

  dba HCA Florida West Hospital

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726
  NPD (past)

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

• Hma Santa Rosa Medical Center LLC

  dba Santa Rosa Medical Center

  • General Acute Care Hospital
  • Milton, FL
  • NPI 1528015302
  Care Compare affiliation
• West Florida Regional Medical Center, Inc.

  dba HCA Florida West Hospital

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726
  Care Compare affiliation

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1831262542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SWEETWATER DR APT K116",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363053214",
            "telephone_number": "125-177-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "251-776-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFRI",
        "first_name": "SHABANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD29440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHABANA.JAFFRI@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1108 Ross Clark Cir",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363013022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHABANA",
            "last_name": "MAHMOOD",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ivan D. Jackson, MD
• Jeannie Elizabeth Jacobs-Grier, PA
• Ann Liebert Jacobs, PHD
• Laurel Jacobs
• Kai Thomas Jacobson, M.D.
• Kimberly M Jaggars, M.S., LPC
• Hannah Jo Jakelsky, CRNP
• James S Sullivan M.D. PA
• Addyson James
• Jamison Behavioral Wellness LLC

• Psychiatry Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.