Ali Jarrahi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

16722 Issued in NC

Practice address

2830 Maplewood Ave
Suite a
Winston-Salem, NC 27103-4100

Phone

(336) 768-2424

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New River Service Authority

  • Community/Behavioral Health Agency
  • Lenoir, NC
  • NPI 1659532562
  NPD (past)
• New River Service Authority

  • Foster Care Agency
  • Boone, NC
  • NPI 1720360944
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1932174786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 MAPLEWOOD AVE",
            "address_2": "SUITE A",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034100",
            "telephone_number": "336-768-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 MAPLEWOOD AVE",
            "address_2": "SUITE A",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034100",
            "telephone_number": "336-768-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRAHI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "16722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "018082",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "45827",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBC",
            "identifier": "10247",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945827",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janell Lafaye Jordan
• David Vanzandt Janeway, M.D.
• Rashid Mazhar Janjua, MD
• David Louis Jaroszewski, MD
• Rima J Jarrah, MD
• Anne Thompson Jarrett, R.PH.
• Jayme Jarrett, PTA
• Misty Simcox Jarvis, AGNP-C
• Kristina Jasnic, PHARMD
• Jason & Sibs, Inc.

• Psychiatry Physician in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.