Active NPI
Juan G Salazar Castillo, MD
- Internal Medicine Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.44914
- Practice address
- Community Internal Medicine of Athens
1500 Oglethorpe Ave Suite 200D
Athens, GA 30606 - Phone
- (706) 389-3875
- Fax
- (706) 389-3876
- NPI assigned
- Mar 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10901 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD.44914 | AL | Primary |
Addresses
Primary practice location
Community Internal Medicine of Athens
1500 Oglethorpe Ave Suite 200D
Athens, GA 30606
Mailing address
St. Mary'S Health Care System, Inc.
1230 Baxter Street
Athens, GA 30606
Phone (706) 389-3860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | communityinternalmedicine@605.direct.myezyaccess.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone (256) 386-4550
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.87 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 69.58
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.36 of 100
- Quality
- 46.72
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10901 | GA | MD | General Practice Dentistry |
| MD.44914 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keller Hospitalist Services | Current | Accepting new patients | |
| Cooperative Healthcare Services Inc | Internal Medicine | Current | Accepting new patients |
| HH Health System - Shoals LLC | Past | Accepting new patients |
Locations
1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160
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.
-
- Hospitalist Physician
- Sheffield, AL
- NPI 1235797200
-
- General Acute Care Hospital
- Sheffield, AL
- NPI 1508952235
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sheffield, AL
- NPI 1508952235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1740740422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST. MARY'S HEALTH CARE SYSTEM, INC.",
"address_2": "1230 BAXTER STREET",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-389-3860",
"fax_number": "706-389-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMMUNITY INTERNAL MEDICINE OF ATHENS",
"address_2": "1500 OGLETHORPE AVE SUITE 200D",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-389-3875",
"fax_number": "706-389-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR CASTILLO",
"first_name": "JUAN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "10901",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "MD.44914",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "communityinternalmedicine@605.direct.myezyaccess.com",
"affiliation": "N",
"endpointDescription": "CIMA Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Email Address",
"address_1": "1500 Oglethorpe Ave Ste 200C",
"city": "Athens",
"state": "GA",
"country_code": "US",
"postal_code": "306062165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.