SALOUM CISSE, M.D. — NPI 1780610444 (Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) in RAYMOND, MS)

CMS-1500 Box 24J / 33a • NPI

1780610444

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207QA0505X (CMS 08)

Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)

Box 32 Service Location & ZIP+4

119 S OAK, SUITE 2, RAYMOND, MS, 39154-4205

✓ 9-Digit EDI 837 ZIP+4 (39154-4205)

Practice Phone & Referral Fax

(601) 526-0790

Fax: (601) 526-0795

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780610444 (SALOUM CISSE, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1780610444` (NPI-1 Individual Practitioner)
Provider / Legal Name	SALOUM CISSE, M.D.
Plain-English Specialty	Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: `207QA0505X` (Family Medicine, Adult Medicine)
Certifying / Licensing Body	American Board of Family Medicine (ABFM)
Practice Location Address	119 S OAK, SUITE 2, RAYMOND, MS, 39154-4205
Practice Telephone / Fax	Tel: (601) 526-0790 \| Fax: (601) 526-0795
Administrative Mailing Address	PO BOX 321359, FLOWOOD, MS, 39232-1359
Enumeration & Last Sync	Enumerated: 2006-06-24 \| CMS Record Updated: 2023-11-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

119 S OAK, SUITE 2, RAYMOND, MS, 39154-4205

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Plain-English Taxonomy & CMS Crosswalk (207QA0505X)

What Does Taxonomy Code 207QA0505X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207QA0505X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SALOUM CISSE, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)

Common Therapeutic Classes:

Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: MS \| License: `18216` \| Primary: Secondary
`207QA0505X` — Family Medicine, Adult Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: MS \| License: `18216` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SALOUM CISSE, M.D. (NPI #1780610444)