Active NPI
Nichol Lynn Salvo, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Marietta, GA
National Provider Identifier
1316021082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD001040
- Practice address
- 2550 Windy Hill Road
Suite 104
Marietta, GA 30067 - Phone
- (770) 952-2040
- Fax
- (770) 988-0379
- NPI assigned
- Oct 25, 2006
- Last updated
- Dec 30, 2008
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 001040 | GA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001040 | GA | Primary |
Addresses
Primary practice location
2550 Windy Hill Road
Suite 104
Marietta, GA 30067
Mailing address
1650 Mulkey Road
Austell, GA 30106
Phone (770) 941-3633
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001040 | GA | MD | Podiatrist |
| POD001040 | GA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Foot and Ankle Center PC | Podiatrist | Past | Accepting new patients |
| Central Georgia Foot and Ankle Center PC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230595200000",
"number": "1316021082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 MULKEY ROAD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "30106",
"telephone_number": "770-941-3633",
"fax_number": "770-944-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 WINDY HILL ROAD",
"address_2": "SUITE 104",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "770-952-2040",
"fax_number": "770-988-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALVO",
"first_name": "NICHOL",
"middle_name": "LYNN",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2008-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "001040",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD001040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.