MRS. KHAYRIYYAH SALAAM NURSE PRACTITIONER
NPI 1124214655
Nurse Practitioner - Family in Mcdonough, GA

Active since September 18, 2007PECOS EnrolledAccepts Medicare Assignment
2200 HIGHWAY 155 N, MCDONOUGH, GA 30252(678) 490-0341 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2024, Oct 30, 2018 (2 updates tracked since 2018).

About Mrs. Khayriyyah Salaam Nurse Practitioner NPPES

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

MRS. KHAYRIYYAH SALAAM NURSE PRACTITIONER (NPI 1124214655) is an individual family provider in Mcdonough, Georgia, licensed in Georgia (068062) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jonesboro, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124214655
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KHAYRIYYAH SALAAMCredential: NURSE PRACTITIONER
Location Address2200 HIGHWAY 155 NMcdonough, GA 30252-4846
Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 18, 2007
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1124214655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 068062
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 068062 (GA)
2200 HIGHWAY 155 N, Mcdonough, GA 30252

Secondary Practice Location 1

Location 1Wellspring Medical/Mount Zion Urgent Care, 2759 Mount Zion ParkwayJonesboro, GA 30236 · Phone (678) 289-8338 · Fax (770) 603-0515

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Khayriyyah Salaam Nurse Practitioner 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 ID7517217078
PECOS Enrollment IDI20241217000245
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.

Areas of Expertise CMS Part B claims 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services14 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
14 services14 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services14 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
14 services14 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30252 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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
2200 HIGHWAY 155 N
MCDONOUGH, GA 30252
Family Medicine
2200 HIGHWAY 155 N
MCDONOUGH, GA 30252
Nurse Practitioner (Family)
2200 HIGHWAY 155 N
MCDONOUGH, GA 30252
Family Medicine
2200 HIGHWAY 155 N
MCDONOUGH, GA 30252
Nurse Practitioner (Family)
2200 HIGHWAY 155 N
MCDONOUGH, GA 30252
Physician Assistant
2200 HIGHWAY 155 N
MCDONOUGH, GA 30252
Nurse Practitioner (Family)
2200 HIGHWAY 155 N
MCDONOUGH, GA 30252
Nurse Practitioner (Family)
2200 HIGHWAY 155 N
MCDONOUGH, GA 30252

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 Khayriyyah Salaam's NPI number?

The NPI number for Khayriyyah Salaam is 1124214655. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Khayriyyah Salaam located?

Khayriyyah Salaam practices at 2200 Highway 155 N, Mcdonough, GA 30252. The listed phone number is (678) 490-0341.

What is Khayriyyah Salaam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Khayriyyah Salaam enrolled in Medicare?

Yes. Khayriyyah Salaam 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.

When was this NPI record last updated?

The NPPES record for Khayriyyah Salaam was last updated on November 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.