Individual provider Active NPI

Salim Amrani, MD

  • Colon & Rectal Surgery Physician
  • Augusta, GA
National Provider Identifier
1295983195
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD2010-0238 Issued in NM
Practice address
1348 Walton Way Ste 6500
Augusta, GA 30901-5111
Phone
(706) 722-2118
Fax
(706) 722-0342
NPI assigned
Sep 4, 2008
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD2010-0238 NM Primary

Addresses

Primary practice location

1348 Walton Way Ste 6500
Augusta, GA 30901-5111

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 854-6008

Other practice location 1

2410 W. Pierce St.
Pecos Valley of NM, LLC dba Surgery Group of Carlsbad
Carlsbad, NM 88220
Phone (575) 885-0766

Other practice location 2

3917 West Rd Ste 250
Los Alamos, NM 87544-5302
Phone (505) 661-3030

Other identifiers 1

IdentifierTypeStateIssuer
60636335MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, GA2 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
I20110404000094 NM Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 0042494882 Reassigns benefits to 2 organizations
I20230710002102 GA Practitioner - Colorectal Surgery (Proctology) 0042494882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy53
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2010-0238NMMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince May 25, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 25, 2021 Accepting new patients
Umg General Surgery LLC CurrentSince Jun 2, 2023 Accepting new patients
Piedmont Providers LLC CurrentSince Sep 1, 2023 Accepting new patients
Los Alamos Physician Practices LLC CurrentSince Oct 1, 2014 Accepting new patients
Los Alamos Physician Practices, LLC CurrentSince Oct 1, 2014 Accepting new patients
Colon and Rectal Surgery Associates, PC Colon & Rectal Surgery PastSince Jun 2, 2023 Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1348 Walton Way
Ste 6500
Augusta, GA 30901
Phone (706) 722-2118

51 Hospital Rd
Newnan, GA 30263
Phone (770) 251-5540

2500 University Dr
Thomson, GA 30824
Phone (706) 595-1186

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030

3917 West Rd
Ste 250
Los Alamos, NM 87544
Phone (505) 661-4147

1202 Highway 60
Bldg D
Socorro, NM 87801
Phone (575) 838-4690

Interoperability endpoints

  • Direct secure messaging: kfa7984@yourcarecommunity.org

Organizations & group practices 7

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 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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1295983195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-854-6008",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 6500",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015111",
            "telephone_number": "706-722-2118",
            "fax_number": "706-722-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 W. Pierce St.",
            "address_2": "Pecos Valley of NM, LLC dba Surgery Group of Carlsbad",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "88220",
            "country_code": "US",
            "telephone_number": "575-885-0766",
            "fax_number": "575-887-3791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3917 West Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "NM",
            "postal_code": "875445302",
            "country_code": "US",
            "telephone_number": "505-661-3030",
            "fax_number": "505-661-9024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMRANI",
        "first_name": "SALIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NM",
            "license": "MD2010-0238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60636335",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.