Individual provider Active NPI

John McClure Salmon IV, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lynchburg, VA
National Provider Identifier
1184721144
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101226332 Issued in VA
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

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
66-0287-8MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230113001251 VA Practitioner - Pathology 0143386466
I20230731003476 FL Practitioner - Pathology 0143386466 Reassigns benefits to 1 organization
I20231128001093 GA Practitioner - Pathology 0143386466 Reassigns benefits to 2 organizations

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 Hospital, Salem, VA, CCN 490048
  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116
  • Lewisgale Hospital Alleghany Hospital, Low Moor, VA, CCN 490126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101226332VAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga, LLC CurrentSince Sep 1, 2024 Accepting new patients
Vitalmd Group Holding LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 5, 2023 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Dec 18, 2023 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 PastSince Sep 1, 2015 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

  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.