Individual provider Active NPI

Juan G Salazar Castillo, MD

  • Internal Medicine Physician
  • Athens, GA
National Provider Identifier
1740740422
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.44914 Issued in AL
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

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address communityinternalmedicine@605.direct.myezyaccess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220913000412 AL Practitioner - Internal Medicine 4981939725 Reassigns benefits to 1 organization
I20240506003890 GA Practitioner - Hospitalist 4981939725 Reassigns benefits to 1 organization

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
Keller Hospitalist ServicesGroup PAC ID 3870829161, 15 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.58

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
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

LicenseStateTypeSpecialty
10901GAMDGeneral Practice Dentistry
MD.44914ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keller Hospitalist Services CurrentSince Aug 16, 2023 Accepting new patients
Cooperative Healthcare Services Inc Internal Medicine CurrentSince Apr 1, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.