Individual provider Active NPI

Jason Jacob Salmon, M.D.

  • Pediatrics Physician
  • Memphis, TN
National Provider Identifier
1194933143
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27847 Issued in AL
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

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120000726 TN Practitioner - Pediatric Medicine 4183892136 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27847ALMDPediatrics Physician
MD0000048332TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Pediatrics CurrentSince Jan 1, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.