Active NPI
John Yolman Salinas, MD
- General Practice Physician
- Norcross, GA
National Provider Identifier
1205002946
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 038600
- Practice address
- 5430 Jimmy Carter Blvd
Suite 100
Norcross, GA 30093-1517 - Phone
- (678) 421-9595
- NPI assigned
- May 2, 2008
- Last updated
- Apr 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 038600 | GA | |
| Obstetrics & Gynecology Physician | 207V00000X | 038600 | GA | |
| Surgery Physician | 208600000X | 038600 | GA | |
| General Practice Physician | 208D00000X | 038600 | GA | Primary |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 038600 | GA |
Addresses
Primary practice location
5430 Jimmy Carter Blvd
Suite 100
Norcross, GA 30093-1517
Mailing address
3069 Amwiler Rd
Suite 2
Atlanta, GA 30360-2825
Phone (678) 421-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038600 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1205002946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3069 AMWILER RD",
"address_2": "SUITE 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303602825",
"telephone_number": "678-421-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 JIMMY CARTER BLVD",
"address_2": "SUITE 100",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300931517",
"telephone_number": "678-421-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALINAS",
"first_name": "JOHN",
"middle_name": "YOLMAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-02",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "038600",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "038600",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "038600",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "038600",
"primary": true
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "GA",
"license": "038600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.