Salvatore Joseph Lucido, MD
Individual provider Active NPI Aerospace Medicine Physician · Moody Afb, GA
NPI 1811980451 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1811980451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Aerospace Medicine Physician 2083A0100X
- License
- 01052044A (IN)
- Practice address
- 3280 Mitchell Blvd
23 Amds/Flight Medicine Clinic
Moody Afb, GA 31699-1500 - Phone
- (229) 257-2103
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052044A | IN | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 01052044A | IN | Yes |
| Internal Medicine Physician | 207R00000X | 01052044A | IN |
Addresses
Primary practice location
3280 Mitchell Blvd
23 Amds/Flight Medicine Clinic
Moody Afb, GA 31699-1500
Mailing address
3280 Mitchell Blvd BLDG 900
Moody Afb, GA 31699-1500
Phone (229) 257-2778
Other providers in Moody Afb, GA
- William Deleon Lawson
- Madia S Lee
- Clayton Lively
- Laura Andrea Londono
- Hayley Lucero
- Devon Lyons
- Stacy Madden
- James Alexander Marshall III
- Tyler Austin Mattas
- Andrea Linn Matthes Berg
All providers in Moody Afb, GA · Aerospace Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.