MRS. KHAYRIYYAH SALAAM (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1124214655
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. KHAYRIYYAH SALAAM (NURSE PRACTITIONER)
2200 HIGHWAY 155 N
MCDONOUGH, GA 302524846
Phone: (678) 490-0341
Type: Location
301, Brown Springs Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361177005
Phone: (334) 273-4159
Fax: (334) 273-4556
Type: Mailing
806, East South Boulevard, Crawfordsville, Montgomery County, Indiana, 47933, United States
MONTGOMERY, AL 361162007
Phone: (334) 747-8920
Fax: (334) 747-8930
Type: Location
Wellspring Medical/Mount Zion Urgent Care
2759 Mount Zion Parkway
Jonesboro, GA 30236
Phone: (678) 289-8338
Fax: (770) 603-0515
Type: Location
3333 RIVERWOOD PKWY SE STE 250
ATLANTA, GA 303393304
Phone: (770) 914-0116
Type: Mailing
WELLSPRING MEDICAL/MOUNT ZION URGENT CARE
2759 MOUNT ZION PARKWAY
JONESBORO, GA 30236
Phone: (678) 289-8338
Fax: (770) 603-0515
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Exact Sciences Corporation ($51).
Total Amount
$141
General + Research + Ownership
Payments
6
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $51 |
| PFIZER INC. | $25 |
| Insulet Corporation | $23 |
| Novo Nordisk Inc | $22 |
| Abbott Laboratories | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180904000741 | I | Nurse Practitioner | AL | TBD |
| I20241217000245 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30252)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Family Practice | LA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| - | GA |
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