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DR. SALIH O FALDON M.D.
NPI 1083668271
Family Medicine in Fayetteville, GA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
101 BECKETT LN, 506, FAYETTEVILLE, GA 30214(678) 817-9255(678) 817-9295 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Salih O Faldon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SALIH O FALDON M.D. (NPI 1083668271) is an individual family medicine provider in Fayetteville, Georgia, licensed in Georgia (053518) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upson Regional Medical Center, and maintains a secondary practice location in Thomaston.

NPPES Registry Identity

NPI1083668271
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SALIH O FALDONCredential: M.D.
Location Address101 BECKETT LN, 506Fayetteville, GA 30214-7155
Mailing AddressPo Box 161739Atlanta, GA 30321-1739 · (678) 817-9255 · Fax (678) 817-9295
Phone(678) 817-9255
Fax(678) 817-9295
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2000
Enumeration DateMay 20, 2006
Last NPPES UpdateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
✔ NPI 1083668271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 053518
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 53518 (GA)
101 BECKETT LN, Fayetteville, GA 30214
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Secondary Practice Location 1

Location 1801 W Gordon StThomaston, GA 30286-3426 · Phone (706) 647-8111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Salih O Faldon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143120469
PECOS Enrollment IDI20040112000489
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Salih Faldon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hightower Emergency Group, PC
41 mi
Emergency Medicine
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 66 clinicians in this Medicare group
NPI 1790285815 (706) 647-8111
Independence Emergency Physicians LLC
43 mi
Emergency Medicine
200 ALLEN MEMORIAL DR, EMERGENCY DEPARTMENT
Bremen, GA 30110
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
NPI 1164458832 (954) 939-5000
Fort Oglethorpe Emergency Physicians Group LLC
100 mi
Emergency Medicine
2855 OLD HIGHWAY 5
Blue Ridge, GA 30513
  • Reassigned Medicare billing, Georgia enrollment
  • 124 clinicians in this Medicare group
NPI 1174024376 (323) 486-0060
Paragon Contracting Services LLC
135 mi
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 646 clinicians in this Medicare group
NPI 1225071459 (205) 939-7100
Hill Hospital Of York
234 mi
General Acute Care Hospital
751 DERBY DR
York, AL 36925
  • Reassigned Medicare billing, Alabama enrollment
  • 11 clinicians in this Medicare group
NPI 1437344199 (205) 392-5263

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
209 services193 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
58 services53 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
57 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upson Regional Medical Center

Acute Care Hospitals · Thomaston, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110002
Location801 W Gordon StreetThomaston, GA 30286 · Upson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMOLOLA OTUBAGA NP
Nurse Practitioner (Psychiatric/Mental Health)
101 BECKETT LN, STE. 304
FAYETTEVILLE, GA 30214
Fayette County (770) 703-4448
GOD'S IN CONTROL TRANSPORTATION SERVICES
Non-emergency Medical Transport (VAN)
101 BECKETT LN, SUITE 505
FAYETTEVILLE, GA 30214
Fayette County (404) 918-1926
PROVIDER RESOURCE SOLUTIONS LLC
Supports Brokerage
101 BECKETT LN
FAYETTEVILLE, GA 30214
Fayette County (404) 829-2715
ASHFORD DENTAL INC. II
Dentist (General Practice)
101 BECKETT LN, SUITE 403
FAYETTEVILLE, GA 30214
Fayette County (770) 461-0400
JENNIFER CORBITT FREEMAN, M.D., P.C.
Specialist
101 BECKETT LN, SUITE 506
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6314
DR. ROBIN DWAYNE ASHFORD D.D.S.
Dentist
101 BECKETT LN, SUITE 404
FAYETTEVILLE, GA 30214
Fayette County (770) 461-0400
PROVIDER RESOURCE SOLUTIONS OF GEORGIA, INC
Community/Behavioral Health
101 BECKETT LN, SUITE 505
FAYETTEVILLE, GA 30214
Fayette County (404) 829-2715
AUGUSTA ABBEY
Non-emergency Medical Transport (VAN)
101 BECKETT LN, SUITE 505
FAYETTEVILLE, GA 30214
Fayette County (404) 918-1926

Frequently 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 Salih Faldon's NPI number?

The NPI number for Salih Faldon is 1083668271. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Salih Faldon located?

Salih Faldon practices at 101 Beckett Ln 506, Fayetteville, GA 30214. The listed phone number is (678) 817-9255.

What is Salih Faldon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Salih Faldon enrolled in Medicare?

Yes. Salih Faldon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Salih Faldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Salih Faldon reassigns Medicare benefits to 5 organizations: Hightower Emergency Group, PC (Thomaston, GA), Independence Emergency Physicians LLC (Bremen, GA), Fort Oglethorpe Emergency Physicians Group LLC (Blue Ridge, GA), Paragon Contracting Services LLC (Birmingham, AL) and Hill Hospital Of York (York, AL). Each 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 Salih Faldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Salih Faldon accept?

Health plans from Oscar Health and Oscar Insurance Company list Salih Faldon 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.

Is Salih Faldon affiliated with any hospitals?

According to CMS data, Salih Faldon is affiliated with Upson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Salih Faldon was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.