Individual provider Active NPI

Mark D Salsberry, M.D.

  • Family Medicine Physician
  • Acworth, GA
National Provider Identifier
1053328294
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
039459 Issued in GA
Practice address
2487 Cedarcrest Rd
Suite 714
Acworth, GA 30101-2728
Phone
(678) 224-5730
Fax
(770) 693-7186
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 039459 GA Primary

Addresses

Primary practice location

2487 Cedarcrest Rd
Suite 714
Acworth, GA 30101-2728

Mailing address

2487 Cedarcrest Rd
Suite 714
Acworth, GA 30101-2728
Phone (678) 224-5730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000789 GA Practitioner - Family Practice 5395927263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3747 Roswell Rd
Suite 107
Marietta, GA 30062-6227
Phone (770) 956-0150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039459GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etowah Regional Medical Services PC Family Medicine Current Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

Interoperability endpoints

  • Direct secure messaging: msalsberry7373@directwellstar.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1053328294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 CEDARCREST RD",
            "address_2": "SUITE 714",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301012728",
            "telephone_number": "678-224-5730",
            "fax_number": "770-693-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 CEDARCREST RD",
            "address_2": "SUITE 714",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301012728",
            "telephone_number": "678-224-5730",
            "fax_number": "770-693-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALSBERRY",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "039459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.