Active NPI
Mohammad A. Ahmed, M.D.
- Neurology Physician
- Vicksburg, MS
National Provider Identifier
1861458762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 16065
- Practice address
- 104 McAuley Dr
Vicksburg, MS 39183-2825 - Phone
- (601) 638-7271
- Fax
- (601) 631-2698
- NPI assigned
- Apr 21, 2006
- Last updated
- Apr 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 16065 | MS | Primary |
Addresses
Primary practice location
104 McAuley Dr
Vicksburg, MS 39183-2825
Mailing address
1502 S Colorado St
Greenville, MS 38703-7219
Phone (662) 379-8141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00119831 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16065 | MS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Neuroscience Center, PA | Neurology | Past | Accepting new patients |
| Vicksburg Clinic LLC | Neurology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neurology Physician
- Hattiesburg, MS
- NPI 1346267325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1861458762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 S COLORADO ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037219",
"telephone_number": "662-379-8141",
"fax_number": "662-379-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MCAULEY DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391832825",
"telephone_number": "601-638-7271",
"fax_number": "601-631-2698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "MOHAMMAD",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "16065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119831",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.