Mahmoud Emadeldin Abodorra, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1701 Veterans Dr. North Alabama Medical Center
Florence, AL 35630

Phone

(256) 629-1953

Fax

(256) 629-2765

NPI assigned

Jun 9, 2023

Reactivated

Feb 6, 2024

Last updated

Feb 6, 2024By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1942984158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 ROBERTS LN APT #8, FLORENCE, ALABAMA",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-633-9390",
            "fax_number": "256-629-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 VETERANS DR. NORTH ALABAMA MEDICAL CENTER",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-629-1953",
            "fax_number": "256-629-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABODORRA",
        "first_name": "MAHMOUD",
        "middle_name": "EMADELDIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2024-02-06",
        "certification_date": "2023-06-09",
        "deactivation_date": "2024-01-12",
        "reactivation_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A & E Hospice Care, Inc
• A & E Medical Inc
• A & M Dental Inc.
• A&E Medical, Inc
• Ability Brace & Limb, Inc
• Homer G Adams, PHD
• Lindsay Adams, PT, DPT
• Aimee Kitchens Aday, PHARMD
• Jerry Gregory Adderholt Jr., MD
• Addiction & Mental Health Services Inc (Bradford Health Services)

• Student in an Organized Health Care Education/Training Program in Florence, AL
• Providers in Florence, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.