Ayishatu A Salami

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP001570 Issued in GA

Practice address

2009 Old Lafayette Rd
Fort Oglethorpe, GA 30742-3510

Phone

(706) 866-5520

NPI assigned

Aug 29, 2023

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 GA

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 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1417732330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 OLD LAFAYETTE RD",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 OLD LAFAYETTE RD",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423510",
            "telephone_number": "706-866-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMI",
        "first_name": "AYISHATU",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33846",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Suzanne Robinson-Bullock, PT, DPT
• Emily Diane Rodriguez, ABOC, NCLEC, LDO
• Heather Lawry Roesner, LPC
• Jonathan William Ronca, PHARMD
• Rose Medical, LLC
• Heather Nicole Salvador, COTA
• Victoria A Sapp, CADC-T (T0307)
• Andrew James Sarnat, M.D.
• Jamie Lee Satterfield, CACII
• James Andrew Scolet, PTA

• Family Nurse Practitioner in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, 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 Aug 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.