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AHMED ADEL MOHAMED FATHY
NPI 1093535940
Dentist in Jackson, NC

Active since October 15, 2024PECOS EnrolledAccepts Medicare Assignment
9425 NC-305, JACKSON, NC 27845(252) 534-1661 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ahmed Adel Mohamed Fathy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AHMED ADEL MOHAMED FATHY (NPI 1093535940) is an individual dentist in Jackson, North Carolina, licensed in North Carolina (14440) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093535940
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameAHMED ADEL MOHAMED FATHY
Location Address9425 NC-305Jackson, NC 27845
Mailing Address203 Ravenstone DrCary, NC 27518-9066 · (617) 636-6828
Phone(252) 534-1661
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 15, 2024
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1093535940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 14440
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9425 NC-305, Jackson, NC 27845
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ahmed Adel Mohamed Fathy is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42790172
PECOS Enrollment IDI20260217002280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ahmed Adel Fathy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health Group, Inc.
Same address
Federally Qualified Health Center (FQHC)
9425 NC 305 HWY
Jackson, NC 27845
  • Reassigned Medicare billing, North Carolina enrollment
  • 66 clinicians in this Medicare group
NPI 1689626178 (252) 534-1661

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ahmed Adel Fathy's NPI number?

The NPI number for Ahmed Adel Fathy is 1093535940. It was assigned to this individual provider in the NPPES registry on October 15, 2024.

Where is Ahmed Adel Fathy located?

Ahmed Adel Fathy practices at 9425 Nc-305, Jackson, NC 27845. The listed phone number is (252) 534-1661.

What is Ahmed Adel Fathy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ahmed Adel Fathy enrolled in Medicare?

Yes. Ahmed Adel Fathy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ahmed Adel Fathy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmed Adel Fathy reassigns Medicare benefits to Rural Health Group, Inc. (Jackson, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ahmed Adel Fathy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmed Adel Fathy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 21 other insurers list Ahmed Adel Fathy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ahmed Adel Fathy was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.