Jack T Saltz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

031115 Issued in GA

Practice address

4039 Atlanta St
Powder Springs, GA 30127-2666

Phone

(770) 943-3139

Fax

(770) 439-5501

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046

  Family Medicine

  Medicare reassignment NPD
• Bethesda Family Practice Assoc

  • Family Medicine Physician
  • Powder Springs, GA
  • NPI 1710058938
  NPD Authorized official
• Piedmont Professional Services, LLC

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1104088905
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336212513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 ATLANTA ST",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272666",
            "telephone_number": "770-943-3139",
            "fax_number": "770-439-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 ATLANTA ST",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272666",
            "telephone_number": "770-943-3139",
            "fax_number": "770-439-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZ",
        "first_name": "JACK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00371973A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RR3, LLC
• Margaret Ruhiu
• Emily Runyon
• Anderson Lee Russell, PHARMD
• Jennifer Salgado, LCSW
• Darius L. Sams, DPT
• Evelyn Debra Sarpong
• Scott Gynecology & Pelvic Surgery, P.C.
• Daryel Lorenzo Scott Sr.
• Laura Searcy, M.N, APRN-BC

• Family Medicine Physician in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.