Ghaith Ajamoughli, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00019459 Issued in AL

Practice address

1040 Glenn Blvd SW
Fort Payne, AL 35967-8413

Phone

(256) 845-6900

Fax

(256) 845-6911

NPI assigned

Jul 25, 2006

Last updated

Jan 6, 2016By 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 3

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

Specialty

Family Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stopwatch Urgent Care Centers LLCGroup PAC ID 7719166230, 31 clinicians

Practice addresses (Care Compare)

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.

• Stopwatch Urgent Care Centers LLC

  dba Moore's Mill Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458
  Medicare reassignment Care Compare group NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Doctors Med Care of Fort Payne, P.C.

  • Family Medicine Physician
  • Fort Payne, AL
  • NPI 1225065022
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Keel and Associates

  • General Practice Physician
  • Oxford, AL
  • NPI 1720136443
  NPD
• Alabama Hma Physician Management, LLC

  dba Stringfellow Physician Network

  • Family Medicine Physician
  • Oxford, AL
  • NPI 1003868712
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1841212974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GLENN BLVD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359678413",
            "telephone_number": "256-845-6900",
            "fax_number": "256-845-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GLENN BLVD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359678413",
            "telephone_number": "256-845-6900",
            "fax_number": "256-845-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAMOUGHLI",
        "first_name": "GHAITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00019459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932321",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51004641",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "51558227",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi Anna Acker, MED, CCC-SLP
• Affordable Dentures & Implants - Fort Payne, P.C.
• Samantha Al Halaseh, D.O.
• Wael Al-Halaseh, MD
• Alabama Associates Chiropractic Clinic Inc.
• Alabama Em-I Medical Services
• Alabama Integrative Medicine Inc

• Family Medicine Physician in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.