Active NPI
Yulia Salamatova
- Neurology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- UO5910
- Practice address
- 580 W 8TH St # T17
Jacksonville, FL 32209-6533 - Phone
- (904) 244-9922
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | UO5910 | FL | Primary |
Addresses
Primary practice location
580 W 8TH St # T17
Jacksonville, FL 32209-6533
Mailing address
580 W 8TH St # T17
Jacksonville, FL 32209-6533
Phone (904) 244-9922
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3200 Downwood Cir NW
Suite 550
Atlanta, GA 30327-1624
Phone (404) 351-0205
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9297
Hospital & facility affiliations
- Tanner Medical Center - Carrollton
- Tanner Medical Center Villa Rica
- Piedmont Hospital, Inc
- Wellstar Cobb Medical Center
- Northside Hospital
- Wellstar Windy Hill Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Neuroscience Institute, Inc. | Neurology | Current | Accepting new patients |
| The Emory Clinic Inc | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
3200 Downwood Cir NW
Ste 550
Atlanta, GA 30327
Phone (404) 351-0205
Organizations & group practices 3
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.
-
- Neurology Physician
- Atlanta, GA
- NPI 1184847345
-
- Neurology Physician
- Carrollton, GA
- NPI 1588192660
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1285138495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 W 8TH ST # T17",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096533",
"telephone_number": "904-244-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W 8TH ST # T17",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096533",
"telephone_number": "904-244-9922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAMATOVA",
"first_name": "YULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "UO5910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.