Khayriyyah Salaam, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

068062 Issued in GA

Practice address

2200 Highway 155 N
McDonough, GA 30252-4846

Phone

(678) 490-0341

NPI assigned

Sep 18, 2007

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aylo Health, LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1013018811
  Medicare reassignment Care Compare group NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Primary Medicine Associates

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982653390
  Medicare reassignment NPD
• Aylo Health, LLC

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1073829073
  NPD
• Aylo Health, LLC

  • Diagnostic Radiology Physician
  • Locust Grove, GA
  • NPI 1194433219
  NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1427822279
  NPD
• The Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Alabama Liver and Digestive Specialists

  • Specialist
  • Montgomery, AL
  • NPI 1922129618
  NPD
• Aylo Health, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1710929914
  NPD (past)
• Aylo Health, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Stockbridge, GA
  • NPI 1922831445
  NPD (past)
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Health Care Partners

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1033534524
  NPD (past)
• The Health Care Authority for Baptist Health

  dba Baptist Medical Center South - Wound Care

  • Clinic/Center
  • Montgomery, AL
  • NPI 1538347067
  NPD (past)
• The Health Care Authority for Baptist Health

  dba Alabama Oncology Hematology Associates

  • Hematology & Oncology Physician
  • Montgomery, AL
  • NPI 1972749398
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1124214655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 RIVERWOOD PKWY SE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393304",
            "telephone_number": "770-914-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HIGHWAY 155 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524846",
            "telephone_number": "678-490-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Wellspring Medical/Mount Zion Urgent Care",
            "address_2": "2759 Mount Zion Parkway",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "30236",
            "country_code": "US",
            "telephone_number": "678-289-8338",
            "fax_number": "770-603-0515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAAM",
        "first_name": "KHAYRIYYAH",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "068062",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "068062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe Haven Residential Living, LLC
• Safe Source Durable Medical Equipment LLC
• Catherine Saffels, LPC
• Sage Dental Group of Georgia, LLC (Sage Dental of McDonough)
• Jone' Sagoes
• Sally H Clanin, LCSW, LLC
• Sam Select
• Sam's Club Optical (Sam's Club Optical 30-4804)
• Marquis Sampson
• Sams East Inc (Sams Pharmacy 10-4804)

• Family Nurse Practitioner in McDonough, GA
• Providers in McDonough, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.