Organization Active NPI

Adamu Salisu, MD PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, NC
National Provider Identifier
1679877534
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2005-01681 Issued in NC
Legal business name
ADAMU SALISU, MD PLLC
Practice address
200 E Jefferson St
Monroe, NC 28112-4863
Phone
(336) 577-3285
NPI assigned
Jan 6, 2011
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. Adamu Salisu, M.DNPI 1578760898
Title
Medical Director
Phone
(336) 577-3285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2005-01681 NC Primary

Addresses

Primary practice location

200 E Jefferson St
Monroe, NC 28112-4863

Mailing address

PO Box 2005
Monroe, NC 28111-2005
Phone (336) 577-3285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170623001374 NC Part B Supplier - Clinic/Group Practice 9739457235 Receives reassigned benefits from 2 practitioners
Practice locations: Monroe, NC

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1679877534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281112005",
            "telephone_number": "336-577-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JEFFERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124863",
            "telephone_number": "336-577-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMU SALISU, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "SALISU",
        "authorized_official_first_name": "ADAMU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-577-3285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "2005-01681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.