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NPISignal

Individual Healthcare Provider

Mohanned Hassan Mohammed Ahmed, M.D.

NPI Record: ActiveFamily Medicine
NPI1053725499
Pine Bluff, Arkansas

Provider's NPPES record last updated: July 23, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1053725499
Primary Specialty
Family Medicine
Practice Location
Pine Bluff, Arkansas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:57 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Internal Medicine

    Geriatric Medicine

    Allopathic & Osteopathic Physicians

    An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

    Taxonomy code 207RG0300X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Provider-Reported License Information

Family Medicine (Arkansas)
E-11695
Emergency Medicine (Arkansas)
E-11695
Internal Medicine (Michigan)
4301104828
General Practice (Georgia)
074885
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1600 W 40th Ave

Pine Bluff, Arkansas 71603-6301

Phone: (870) 541-7100

Additional Practice Location

4166 Snapfinger Woods Dr

Decatur, Georgia 30035-3411

Phone: (404) 289-6199

Fax: (404) 289-2446

Additional Practice Location

4201 S Mulberry St

Pine Bluff, Arkansas 71603-7016

Phone: (870) 541-8660

Record Information

Enumeration Date
June 13, 2014
Provider's NPPES Record Last Updated
July 23, 2019
NPISignal NPPES Dataset
August 2026

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