Individual provider Active NPI

Charles Drew Salisbury, MD

  • Ophthalmology Physician
  • Mobile, AL
National Provider Identifier
1255758199
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
38112 Issued in AL
Practice address
3701 Dauphin St
Mobile, AL 36608-1756
Phone
(251) 341-3368
Fax
(251) 445-7745
NPI assigned
Mar 27, 2014
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 38112 AL Primary
Ophthalmology Physician 207W00000X 079762 GA
Ophthalmology Physician 207W00000X 27236 MS
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3701 Dauphin St
Mobile, AL 36608-1756

Mailing address

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900

Other practice location 1

625 Pine St
Apt 2
New Orleans, LA 70118-5162
Phone (251) 709-7767

Other practice location 2

3225 Cumberland Blvd SE Ste 900
Atlanta, GA 30339-5971
Phone (404) 351-2220

Other practice location 3

126 Alabama Ave W
Thomasville, AL 36784-3100
Phone (334) 636-2529

Other identifiers 2

IdentifierTypeStateIssuer
512-25110OtherALBLUE CROSS BLUE SHIELD
233483MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 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
I20190729001408 AL Practitioner - Ophthalmology 9032338355 Reassigns benefits to 1 organization
I20210311002956 MS Practitioner - Ophthalmology 9032338355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Management IncGroup PAC ID 6608869342, 55 clinicians

Practice addresses (Care Compare)

3631 Bienville Blvd
Ocean Springs, MS 39564-5702
Phone (228) 875-2020

3701 Dauphin St
Mobile, AL 36608-1756
Phone (251) 473-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
81.75
Promoting interoperability
77
Improvement activities
40
Cost
75.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27236MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Management, Inc. Ophthalmology CurrentSince Aug 12, 2019 Accepting new patients
Premier Health Management, Inc. Ophthalmology CurrentSince Aug 12, 2019 Accepting new patients

Locations

2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368

3701 Dauphin St
Mobile, AL 36608
Phone (251) 341-3368

126 Alabama Ave W
Thomasville, AL 36784
Phone (251) 473-1900

3631 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-0585

Interoperability endpoints

  • Direct secure messaging: cdsalisbury@pm.gwaydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1255758199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-473-1900",
            "fax_number": "251-470-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081756",
            "telephone_number": "251-341-3368",
            "fax_number": "251-445-7745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Pine St",
            "address_2": "Apt 2",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701185162",
            "country_code": "US",
            "telephone_number": "251-709-7767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3225 Cumberland Blvd SE Ste 900",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303395971",
            "country_code": "US",
            "telephone_number": "404-351-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Alabama Ave W",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "AL",
            "postal_code": "367843100",
            "country_code": "US",
            "telephone_number": "334-636-2529",
            "fax_number": "334-636-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "CHARLES",
        "middle_name": "DREW",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "38112",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "079762",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "27236",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "512-25110",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233483",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.