Mrs Khayriyyah Salaam, NURSE PRACTITIONER in Jonesboro, GA

Mrs Khayriyyah Salaam, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Jonesboro, Georgia. Her current practice location is Wellspring Medical/mount Zion Urgent Care, 2759 Mount Zion Parkway, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 289-8338.

Mrs Khayriyyah Salaam is licensed to practice in Georgia (license number 068062) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124214655.

Contact Information

	Mrs Khayriyyah Salaam, NURSE PRACTITIONER
	Wellspring Medical/mount Zion Urgent Care, 2759 Mount Zion Parkway, Jonesboro, GA 30236
	(678) 289-8338
	(770) 603-0515

Map and Direction

Provider's Profile

Full Name	Mrs Khayriyyah Salaam
Gender	Female
Speciality	Nurse Practitioner - Family
Location	Wellspring Medical/mount Zion Urgent Care, Jonesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124214655
Provider Enumeration Date: 09/18/2007
Last Update Date: 03/16/2022

Medicare PECOS Information:

PECOS PAC ID: 7517217078
Enrollment ID: I20180904000741

Medical Identifiers

Medical identifiers for Mrs Khayriyyah Salaam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124214655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	068062 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	068062 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Khayriyyah Salaam allows following entities to bill medicare on her behalf.

Entity Name	Health Care Authority For Baptist Health, An Affiliate Of Uabhs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Khayriyyah Salaam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Khayriyyah Salaam, NURSE PRACTITIONER Wellspring Medical/mount Zion Urgent Care, 2759 Mount Zion Parkway, Jonesboro, GA 30236 Ph: (678) 289-8338	Mrs Khayriyyah Salaam, NURSE PRACTITIONER Wellspring Medical/mount Zion Urgent Care, 2759 Mount Zion Parkway, Jonesboro, GA 30236 Ph: (678) 289-8338

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, GA

Mrs. April D Joseph, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240
Mrs. Mercy B Manga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 770-962-2400
Ms. Cristyle Lynn Morrison, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Channing Dr, Jonesboro, GA 30238 Phone: 678-262-7190
Myrna Gacusan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6911 Tara Blvd, Jonesboro, GA 30236 Phone: 770-477-8573 Fax: 770-477-8573
Lashaunda Denise Clerizier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1096 Brandon Hill Way, Jonesboro, GA 30238 Phone: 305-417-2885
Reeves Henderson, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Zion Rd, Jonesboro, GA 30236 Phone: 404-602-0387

Mrs Khayriyyah Salaam, NURSE PRACTITIONER - Medicare Nurse Practitioner in Jonesboro, GA