Active NPI
Jason Jacob Salmon, M.D.
- Pediatrics Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 27847
- Practice address
- 1779 Autumn Ave
Memphis, TN 38112-5327 - Phone
- (901) 227-9468
- Fax
- (901) 227-9478
- NPI assigned
- May 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD0000048332 | TN | |
| Pediatrics Physician | 208000000X | 27847 | AL | Primary |
Addresses
Primary practice location
1779 Autumn Ave
Memphis, TN 38112-5327
Mailing address
1779 Autumn Ave
Memphis, TN 38112-5327
Phone (901) 227-9468
Other practice location 1
1717 W Massey Rd
Memphis, TN 38120-4206
Phone (901) 761-1280
Other practice location 2
8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773
Phone (901) 725-8606
Other practice location 3
6401 Poplar Ave Ste 610
Memphis, TN 38119-4806
Phone (901) 761-1280
Other practice location 4
2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350
Other practice location 5
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 260-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27847 | AL | MD | Pediatrics Physician |
| MD0000048332 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Health Services, Inc. of Mississippi | Past | Accepting new patients | |
| Firstcare Medical Foundation | Pediatrics | Past | Accepting new patients |
Locations
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
1717 W Massey Rd
Memphis, TN 38120
Phone (901) 227-2550
8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
6401 Poplar Ave
Ste 610
Memphis, TN 38119
Phone (901) 227-5045
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Pediatrics
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Internal Medicine Physician
- New Albany, MS
- NPI 1104971696
-
dba Samaritan Medical Clinics
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1194933143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1779 AUTUMN AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381125327",
"telephone_number": "901-227-9468",
"fax_number": "901-227-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1779 AUTUMN AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381125327",
"telephone_number": "901-227-9468",
"fax_number": "901-227-9478"
}
],
"practiceLocations": [
{
"address_1": "1717 W Massey Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381204206",
"country_code": "US",
"telephone_number": "901-761-1280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8040 Wolf River Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381773",
"country_code": "US",
"telephone_number": "901-725-8606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6401 Poplar Ave Ste 610",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381194806",
"country_code": "US",
"telephone_number": "901-761-1280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Exeter Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381383966",
"country_code": "US",
"telephone_number": "901-757-1350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8138 Country Village Dr",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380162029",
"country_code": "US",
"telephone_number": "901-260-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALMON",
"first_name": "JASON",
"middle_name": "JACOB",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "MD0000048332",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "27847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.