Individual provider Active NPI

George Yousef Salama, DC

  • Chiropractor
  • Greensboro, NC
National Provider Identifier
1841272473
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2887 Issued in NC
Practice address
3410 A W Wendover Ave
Greensboro, NC 27407
Phone
(336) 274-3500
Fax
(336) 292-1928
NPI assigned
Nov 18, 2005
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2887 NC Primary

Addresses

Primary practice location

3410 A W Wendover Ave
Greensboro, NC 27407

Mailing address

PO Box 18305
Greensboro, NC 27419
Phone (336) 274-3500

Other identifiers 1

IdentifierTypeStateIssuer
89085A8MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031203000253 NC Practitioner - Chiropractic 7214840750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gys Chiro IncGroup PAC ID 9133146541, 8 clinicians

Practice addresses (Care Compare)

3410 W Wendover Ave a
Greensboro, NC 27407-1585
Phone (336) 274-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2887NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gys Chiro Inc Chiropractor CurrentSince Dec 1, 2005 Accepting new patients
Gys Chiro Inc. Chiropractor Past Accepting new patients
Gys Chiro Inc Chiropractor Past Accepting new patients
Gys Chiro Inc Chiropractor Past Accepting new patients
Gys Chiro Inc Chiropractor Past Accepting new patients

Locations

3410 W Wendover Ave
Ste A
Greensboro, NC 27407
Phone (336) 274-3500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1841272473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18305",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27419",
            "telephone_number": "336-274-3500",
            "fax_number": "336-292-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 A W WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27407",
            "telephone_number": "336-274-3500",
            "fax_number": "336-292-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMA",
        "first_name": "GEORGE",
        "middle_name": "YOUSEF",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085A8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.