NPIMap

Individual provider Active NPI

Montell D Salary, M.D.

  • Family Medicine Physician
  • Laurinburg, NC
National Provider Identifier
1699896712
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2010-00218 Issued in NC
Practice address
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone
(910) 291-6904
Fax
(910) 291-6907
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2010-00218 NC Primary

Addresses

Primary practice location

500 Lauchwood Dr
Laurinburg, NC 28352-5501

Mailing address

PO Box 602458
Charlotte, NC 28260-2458
Phone (910) 291-6904

Other identifiers 3

IdentifierTypeStateIssuer
NC1102MedicaidSC
1699896712MedicaidNC
5913819MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100405000372 NC Practitioner - Family PracticePractitioner - General Practice 6800974130 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince May 2, 2016 Accepting new patients
Hospitalist Medicine Physicians of North Carolina - Rocky Mount CurrentSince Oct 13, 2018 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Dec 10, 2012 Accepting new patients
Cogent Healthcare of North Carolina, PC Family Medicine CurrentSince Aug 4, 2018 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC CurrentSince Oct 17, 2018 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Dec 10, 2012 Accepting new patients
First Flight Emergency Physicians LLC Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Past Accepting new patients
Elwell Ferry Inpatient Services PastSince Jul 1, 2011 Accepting new patients
Hamlet Hma PPM LLC Family Medicine Past Accepting new patients
Columbus Regional Health Network Family Medicine Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1200 N Elm St
Fl 5
Greensboro, NC 27401
Phone (336) 832-5700

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

210 Smith Church Rd
Ste B
Roanoke Rapids, NC 27870
Phone (252) 535-8870

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 12

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1699896712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602458",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602458",
            "telephone_number": "910-291-6904",
            "fax_number": "910-291-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525501",
            "telephone_number": "910-291-6904",
            "fax_number": "910-291-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALARY",
        "first_name": "MONTELL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-00218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1102",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699896712",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913819",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.