Mariela Castro Salgado, NP-C
Individual provider Active NPI Nurse Practitioner · Bainbridge, GA
NPI 1124611645 · NPPES record last updated Sep 21, 2025
Key facts
- NPI
- 1124611645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN249574 (GA)
- Practice address
- 1500 E Shotwell St
Bainbridge, GA 39819-4256 - Phone
- (229) 248-3748
- NPI assigned
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Authority of the City of Bainbridge and Decatur County
Practice addresses (Care Compare)
1501 Miluli Ave
Bainbridge, GA 39819-5700
Phone (229) 243-0152
Hospital & facility affiliations
- Memorial Hospital and Manor
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241126001860 | GA | Practitioner - Nurse Practitioner | 6800321969 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN249574 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of the City of Bainbridge and Decatur County | Current |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County Georgi | Current |
Accepting new patients |
Locations
1626 E Shotwell St
Bainbridge, GA 39819
1501 Miluli Ave
Bainbridge, GA 39819
Phone (229) 243-0152
920 S West St
Bainbridge, GA 39819
Phone (229) 246-8850
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
205 Bresee St
Donalsonville, GA 39845
Phone (229) 524-1307
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFBDAD/Endpoint/BFBDAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN249574 | GA | Yes |
Addresses
Primary practice location
1500 E Shotwell St
Bainbridge, GA 39819-4256
Mailing address
141 Gaston Rd
Bainbridge, GA 39817-6942
Phone (229) 366-0270
Other providers in Bainbridge, GA
- Camille S Calhoun
- Rhonda Calhoun
- Wahkitha Campbell
- Larissa Mara Carpenter
- Peter Castoro
- Shantrice Shena Cheatem
- Clarence E. Bush, D.M.D., P.C.
- Tanya Williams Clark
- Breeanna Cleveland
- Amanda Cochran
All providers in Bainbridge, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.