Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GHALI GHASSAN HADDAD M.D.
NPI 1629655428
Psychiatry & Neurology - Neurology in Jackson, MS

Q: What is Ghali Haddad's NPI number?

The NPI number for Ghali Haddad is 1629655428. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Ghali Haddad's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Ghali Haddad was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since March 26, 2021PECOS Enrolled

971 LAKELAND DR STE 557, JACKSON, MS 39216(601) 200-4560(601) 200-4580 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Jun 2, 2025, Mar 26, 2021 (3 updates tracked since 2021).

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About Dr. Ghali Ghassan Haddad M.d. NPPES

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

DR. GHALI GHASSAN HADDAD M.D. (NPI 1629655428) is an individual neurology provider in Jackson, Mississippi, licensed in Missouri (2025011332) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1629655428

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. GHALI GHASSAN HADDADCredential: M.D.

Location Address971 LAKELAND DR STE 557Jackson, MS 39216-4661

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-4560 · Fax (225) 765-9196

Phone(601) 200-4560

Fax(601) 200-4580

Sole ProprietorNo

Enumeration DateMarch 26, 2021

Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1629655428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MO · 2025011332

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 37744 (MS)

971 LAKELAND DR STE 557, Jackson, MS 39216

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Secondary Practice Location 1

Location 14921 Parkview PlSaint Louis, MO 63110-1032 · Phone (314) 362-1408

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ghali Ghassan Haddad M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHRISTIAN R FORTENBERRY FNP

Nurse Practitioner (Family)