Individual provider Active NPI

Adamu Salisu, M.D

  • Psychiatry Physician
  • Monroe, NC
National Provider Identifier
1578760898
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2005 01681 Issued in NC
Practice address
1408 E Franklin St
Monroe, NC 28112-5160
Phone
(704) 635-2080
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2005 01681 NC Primary

Addresses

Primary practice location

1408 E Franklin St
Monroe, NC 28112-5160

Mailing address

1408 E Franklin St
Monroe, NC 28112-5160
Phone (704) 635-2080

Other identifiers 1

IdentifierTypeStateIssuer
5902401MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000488 NC Practitioner - Psychiatry 1153495841 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005 01681NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adamu Salisu, MD PLLC CurrentSince Jun 1, 2016 Accepting new patients
Daymark Recovery Services, Inc. Psychiatry CurrentSince Mar 10, 2008 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

1408 E Franklin St
Monroe, NC 28112
Phone (704) 283-6040

1303 E Franklin St
Monroe, NC 28112
Phone (704) 283-4401

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

227 N Main St
Troy, NC 27371
Phone (910) 572-3681

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1578760898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125160",
            "telephone_number": "704-635-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125160",
            "telephone_number": "704-635-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALISU",
        "first_name": "ADAMU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2005 01681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902401",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.