Look up the most recent NPI and PECOS records

Juan G Salazar Castillo

Internal Medicine

Allopathic & Osteopathic Physicians

Community Internal Medicine Of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606

PECOS Enrollment

This provider is enrolled in PECOS as JUAN SALAZAR CASTILLO.

Based on the most recent information from CMS, provider Juan G Salazar Castillo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1740740422
Provider Type
Individual
Full Name
Salazar Castillo, Juan G
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/20/2019
Last Updated
8/29/2022

Contact Information

Practice Location

Community Internal Medicine Of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606

(706) 389-3875

(706) 389-3876

Mailing Location

St. Mary'S Health Care System, Inc., 1230 Baxter Street, Athens, GA 30606

(706) 389-3860

(706) 389-3861

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD.44914 Alabama
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 10901 Georgia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Juan G Salazar Castillo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Middendorf, Christopher Thomas

Athens Regional Physician Services, Inc

Michael, Mini Ann

Fazal, Rahim

St. Mary'S Medical Group, Inc.

Athens Regional Physician Services

Alexander, Anna

Almasri, Jehad

Phanthok, Tenzing

Morel Ovalle, Alain Marcel