Muhammad Ejaz Ata, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16386 Issued in AL

Legal business name

MUHAMMAD EJAZ ATA, M.D

Doing business as

Pisgah Medical Clinic Scottsboro Medical Clinic Muhammad Ejaz Ata MD

Practice address

506 Harley St
Scottsboro Medical Clinic
Scottsboro, AL 35768-4219

Phone

(256) 574-6157

Fax

(256) 259-0560

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Muhammad Ejaz Ata, MD

Title

Medical Director

Phone

(256) 451-1250

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Pisgah Medical Clinic Scottsboro Medical Clinic Muhammad Ejaz Ata MD Doing business as

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1831293117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "PISGAH",
            "state": "AL",
            "postal_code": "357650246",
            "telephone_number": "256-451-1250",
            "fax_number": "256-451-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HARLEY ST",
            "address_2": "SCOTTSBORO MEDICAL CLINIC",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684219",
            "telephone_number": "256-574-6157",
            "fax_number": "256-259-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD EJAZ ATA, M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "ATA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "EJAZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "256-451-1250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "16386",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "24327",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "26901",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "24797",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529900820",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM0511",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pisgah Medical Clinic Scottsboro Medical Clinic Muhammad Ejaz Ata MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret S Morr, MD
• Houston Lane Morrow
• Jessica Moss, CRNP
• MTN Lake Urology PC
• Muhammad Ejaz Ata (Scottsboro Medical Clinic)
• James Edward Murphree Jr., MS
• Amanda Necklaus, LMT
• Bethany Johnson Nemati, MD
• Melissa Fay Nevitt, CRNP
• New Beacon Healthcare Group, LLC (New Beacon of Scottsboro)

• Internal Medicine Physician in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.