Individual provider Active NPI

Mohamed Z Knefati, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Iuka, MS
National Provider Identifier
1912933409
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
14019 Issued in MS
Practice address
1777 Curtis Dr
Iuka, MS 38852-1001
Phone
(662) 423-4074
Fax
(662) 423-4550
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 14019 MS Primary

Addresses

Primary practice location

1777 Curtis Dr
Iuka, MS 38852-1001

Mailing address

1978 Spring Hollow LN
Germantown, TN 38139-5674
Phone (901) 751-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20061019000648 AR Practitioner - Neurology 0840296596 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14019MSMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernard Community Hospital Corporation Current Accepting new patients
Tishomingo Health Services, Inc. Current Accepting new patients
Forrest City Emergency Physicians, PLLC CurrentSince Dec 1, 2009 Accepting new patients
Forrest City Emergency Physicians PLLC Current Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients
St Francis Emergency Group LLC Past Accepting new patients
Forrest City Arkansas Hospital Company, LLC Past Accepting new patients
Correct Care, Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Tyler Emergency Physicians Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Decatur County General Hospital Past Accepting new patients

Locations

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

310 Falls Blvd S
Wynne, AR 72396
Phone (870) 208-2151

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912933409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 SPRING HOLLOW LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381395674",
            "telephone_number": "901-751-3288",
            "fax_number": "661-423-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 CURTIS DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521001",
            "telephone_number": "662-423-4074",
            "fax_number": "662-423-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEFATI",
        "first_name": "MOHAMED",
        "middle_name": "Z",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MS",
            "license": "14019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.