SALAM CLINIC PRIMARY AND URGENT CARE
NPI 1023845880
Clinic/Center - Primary Care in Stone Mountain, GA
About Salam Clinic Primary And Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALAM CLINIC PRIMARY AND URGENT CARE (NPI 1023845880) is a healthcare organization registered as a primary care in Stone Mountain, Georgia and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through September 24, 2028 and lists Selamawit Mola, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Salam Clinic Primary And Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Salam Clinic Primary And Urgent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2311614
Salam Clinic- Primary And Urgent Care, LLC · Stone Mountain, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Salam Clinic Primary And Urgent Care's NPI number?
The NPI number for Salam Clinic Primary And Urgent Care is 1023845880. It was assigned to this organization in the NPPES registry on September 16, 2024.
Where is Salam Clinic Primary And Urgent Care located?
Salam Clinic Primary And Urgent Care is located at 5468 Memorial Dr Ste D, Stone Mountain, GA 30083. The listed phone number is (404) 963-2142.
What is Salam Clinic Primary And Urgent Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Salam Clinic Primary And Urgent Care enrolled in Medicare?
Yes. Salam Clinic Primary And Urgent Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Salam Clinic Primary And Urgent Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Salam Clinic Primary And Urgent Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Salam Clinic Primary And Urgent Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2311614) is associated with this NPI, valid through September 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Salam Clinic Primary And Urgent Care accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Salam Clinic Primary And Urgent Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Salam Clinic Primary And Urgent Care was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Salam Clinic Primary And Urgent Care · NPI 1023845880
Primary Care organization in Stone Mountain, Georgia. Organization record, active in the CMS NPPES registry since September 16, 2024.
## Identity
- **NPI:** 1023845880 (Entity type: Organization)
- **Enumerated:** September 16, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Selamawit Mola, MANAGER
## Practice location
- **Address:** 5468 MEMORIAL DR STE D, Stone Mountain, GA 30083-3267
- **Phone:** (404) 963-2142 · **Fax:** (404) 963-2098
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023845880) · Data from the CMS NPPES public registry.