Individual provider Active NPI

Salih O Faldon, M.D.

  • Family Medicine Physician
  • Fayetteville, GA
National Provider Identifier
1083668271
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
053518 Issued in GA
Practice address
101 Beckett LN
506
Fayetteville, GA 30214-7155
Phone
(678) 817-9255
Fax
(678) 817-9295
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 53518 GA
Family Medicine Physician 207Q00000X 053518 GA Primary

Addresses

Primary practice location

101 Beckett LN
506
Fayetteville, GA 30214-7155

Mailing address

PO Box 161739
Atlanta, GA 30321-1739
Phone (678) 817-9255

Other practice location 1

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040112000489 GA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 0143120469 Reassigns benefits to 3 organizations
I20040503001579 AL Practitioner - Family PracticePractitioner - Internal Medicine 0143120469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Internal Medicine
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Emergency Physicians LLCGroup PAC ID 2264484971, 10 clinicians
Hightower Emergency Group PCGroup PAC ID 3577825751, 29 clinicians

Practice addresses (Care Compare)

200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone (770) 537-5851

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

Hospital & facility affiliations

  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
053518GAMDFamily Medicine Physician
24330ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Emergency Physicians LLC Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Hill Hospital of Sumter County CurrentSince Jun 13, 2012 Accepting new patients
Hill Hospital of York CurrentSince Jun 13, 2012 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Dec 1, 2012 Accepting new patients
Hightower Emergency Group, PC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Primed Health, Inc. PastSince Mar 15, 2007 Accepting new patients
Fayette Medical Center Past Accepting new patients
North Alabama Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

751 Derby Dr
York, AL 36925
Phone (205) 392-5263

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1083668271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161739",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303211739",
            "telephone_number": "678-817-9255",
            "fax_number": "678-817-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BECKETT LN",
            "address_2": "506",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147155",
            "telephone_number": "678-817-9255",
            "fax_number": "678-817-9295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Gordon St",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "GA",
            "postal_code": "302863426",
            "country_code": "US",
            "telephone_number": "706-647-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALDON",
        "first_name": "SALIH",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "53518",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.