NPIMap

Individual provider Active NPI

Clifton Wales Salmon Jr., M.D.

  • Family Medicine Physician
  • Homer, LA
National Provider Identifier
1346205507
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
018524 Issued in LA
Practice address
104 Morris Cir
Homer, LA 71040-2100
Phone
(318) 927-6777
Fax
(318) 927-6714
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 018524 LA Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 018524 LA

Addresses

Primary practice location

104 Morris Cir
Homer, LA 71040-2100

Mailing address

PO Box 300
104 Morris Circle
Homer, LA 71040-0300
Phone (318) 927-6777

Other identifiers 1

IdentifierTypeStateIssuer
1358827MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000247 LA Practitioner - Family Practice 4486790490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Practice addresses (Care Compare)

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100Reported as group
Quality
91.31
Promoting interoperability
95
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18524LAMDSocial Worker
018524LAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Homer Memorial Hospital CurrentSince Dec 1, 1991 Accepting new patients
Homer Memorial Hospital CurrentSince Dec 1, 1991 Accepting new patients
Presbyterian Village of Homer Past Accepting new patients
Homer Memorial Hospital Past Accepting new patients
Passages Hospice North - Central, LLC Family Medicine Past Accepting new patients
Homer Memorial Hospital Past Accepting new patients

Locations

926 Frances Dr
Haynesville, LA 71038
Phone (318) 624-0554

104 Morris Cir
Homer, LA 71040
Phone (318) 927-1110

620 E College St
Homer, LA 71040
Phone (318) 927-2024

912 W Main St
Homer, LA 71040
Phone (318) 927-2024

Interoperability endpoints

  • Direct secure messaging: cwsalmon@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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1346205507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "address_2": "104 MORRIS CIRCLE",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710400300",
            "telephone_number": "318-927-6777",
            "fax_number": "318-927-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MORRIS CIR",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710402100",
            "telephone_number": "318-927-6777",
            "fax_number": "318-927-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "CLIFTON",
        "middle_name": "WALES",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "018524",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "LA",
            "license": "018524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358827",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, LA

Sources for this page

Verify at the official NPI Registry.