Active NPI
John McClure Salmon IV, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101226332
- Practice address
- 1905 Atherholt Rd
Lynchburg, VA 24501-1103 - Phone
- (434) 947-3925
- Fax
- (434) 947-3927
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101226332 | VA | Primary |
Addresses
Primary practice location
1905 Atherholt Rd
Lynchburg, VA 24501-1103
Mailing address
1905 Atherholt Rd
Lynchburg, VA 24501-1103
Phone (434) 947-3925
Other practice location 1
9350 Bay Plaza Blvd Ste 120
Tampa, FL 33619-4404
Phone (813) 553-3332
Other practice location 2
9325 Bay Plaza Blvd Ste 210
Tampa, FL 33619-8403
Phone (813) 553-3332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66-0287-8 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Virginia Commonwealth University, School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18181 SW 83Rd CT
Palmetto Bay, FL 33157-6176
PO Box
Atlanta, GA 30374
Hospital & facility affiliations
- Lewisgale Medical Center
- Lewisgale Hospital Montgomery
- Lewisgale Hospital Pulaski
- Lewisgale Hospital Alleghany
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226332 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga, LLC | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Integrated Regional Laboratories Pathology Services, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Consultants of Central VA, Inc | Past | Accepting new patients | |
| Florida Digestive Health Specialists, LLP | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Aga Professional Services, LLC | Past | Accepting new patients |
Locations
4665 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (786) 268-6050
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1942526298
GA
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
Anatomic Pathology & Clinical Pathology
-
- Clinical Medical Laboratory
- Lynchburg, VA
- NPI 1598863821
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
- Gastroenterology Physician
- Lakewood Ranch, FL
- NPI 1518267327
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Low Moor, VA
- NPI 1285932962
-
- General Acute Care Hospital
- Low Moor, VA
- NPI 1538100029
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
-
- General Acute Care Hospital
- Blacksburg, VA
- NPI 1275570376
-
- General Acute Care Hospital
- Pulaski, VA
- NPI 1205882396
-
- Psychiatric Hospital Unit
- Pulaski, VA
- NPI 1477018893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1184721144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011103",
"telephone_number": "434-947-3925",
"fax_number": "434-947-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011103",
"telephone_number": "434-947-3925",
"fax_number": "434-947-3927"
}
],
"practiceLocations": [
{
"address_1": "9350 Bay Plaza Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336194404",
"country_code": "US",
"telephone_number": "813-553-3332",
"fax_number": "813-374-4459",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9325 Bay Plaza Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336198403",
"country_code": "US",
"telephone_number": "813-553-3332",
"fax_number": "813-374-4459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALMON",
"first_name": "JOHN",
"middle_name": "MCCLURE",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101226332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66-0287-8",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.