Salvatore John Dellacona, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

034329 Issued in GA

Practice address

1700 Springhill Church Rd
Lizella, GA 31052

Phone

(478) 335-4862

Fax

(478) 477-9098

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Collier B. Gladin, Jr., M.D., LLC

  dba Collier B Gladin Jr MD

  • Family Medicine Physician
  • Macon, GA
  • NPI 1780992198
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1063463750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SPRINGHILL CHURCH RD",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "31052",
            "telephone_number": "478-335-4862",
            "fax_number": "478-477-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SPRINGHILL CHURCH RD",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "31052",
            "telephone_number": "478-335-4862",
            "fax_number": "478-477-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLACONA",
        "first_name": "SALVATORE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Bryant
• C19 Rapid Testing Solution LLC
• Sabrina Renee Coneway
• Amber Cryer
• Barbara Cummings
• Melita Dixon, RN, CLC
• Hilary Kate Ellwood, M.D.
• Geraldine H Encarnacion
• Golden Pond Residential Center
• Erica Hammock, RN

• Family Medicine Physician in Lizella, GA
• Providers in Lizella, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.