Individual provider Active NPI

Tricia Salmon Anderson, NP-C

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1194120956
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
195112 Issued in GA
Practice address
5243 Snapfinger Woods Dr Ste 104
Decatur, GA 30035-4000
Phone
(404) 465-1933
Fax
(563) 202-6972
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 195112 GA
Family Nurse Practitioner 363LF0000X 195112 GA Primary

Addresses

Primary practice location

5243 Snapfinger Woods Dr Ste 104
Decatur, GA 30035-4000

Mailing address

5040 Snapfinger Woods Dr Ste 104
Decatur, GA 30035-4020
Phone (404) 465-1933

Other practice location 1

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1900

Other identifiers 1

IdentifierTypeStateIssuer
003154719DMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tsalmon@healthcareathomellc.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150422000803 GA Practitioner - Nurse Practitioner 0547588634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4901 Shire Dr
Lithonia, GA 30038-2984
Phone (678) 777-7165

Hospital & facility affiliations

  • Dharma Hospice and Palliative Care, LLC Hospice, Doraville, GA, CCN 851566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
195112GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Feb 6, 2015 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Feb 6, 2015 Accepting new patients
Vision Medical Consulting, P.C. CurrentSince Jun 25, 2015 Accepting new patients
Healthcare at Home LLC Family CurrentSince Apr 22, 2016 Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

54 Peachtree Park Dr NE
Atlanta, GA 30309
Phone (404) 351-6041

350 Boulevard SE
Atlanta, GA 30312
Phone (401) 688-6731

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

5040 Snapfinger Woods Dr
Ste 104
Decatur, GA 30035
Phone (678) 777-7165

5243 Snapfinger Woods Dr
Ste 104
Decatur, GA 30035
Phone (404) 465-1933

2787 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

4115 Glenwood Rd
Decatur, GA 30032
Phone (404) 284-6414

4595 Cantrell Rd
Flowery Branch, GA 30542
Phone (770) 967-2070

1109 Green St
Roswell, GA 30075
Phone (770) 998-1802

4608 Lawrenceville Hwy
Tucker, GA 30084
Phone (770) 491-9444

Organizations & group practices 4

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1194120956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 SNAPFINGER WOODS DR STE 104",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354020",
            "telephone_number": "404-465-1933",
            "fax_number": "563-202-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 SNAPFINGER WOODS DR STE 104",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354000",
            "telephone_number": "404-465-1933",
            "fax_number": "563-202-6972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Jesse Hill Jr Dr SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033031",
            "country_code": "US",
            "telephone_number": "404-616-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALMON ANDERSON",
        "first_name": "TRICIA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "195112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "195112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003154719D",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tsalmon@healthcareathomellc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5040 Snapfinger Woods Dr Ste 104",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300354020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.