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1518964931

NPI Code Detail

MEDICARE: DR. JERI S SALIT M.D.

MEDICARE: DR. JERI S SALIT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	038601	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	180034337	OTHER	GA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P117681	OTHER	GA	PEACH STATE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	732561	OTHER	GA	BCBS
4	476687	OTHER	GA	BCBS
5	582209517	OTHER	GA	WORK COMP
6	0816391	OTHER	GA	UHC
7	2048089	OTHER	GA	AETNA HMO
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	06427	OTHER	GA	COVENTRY PPO
11	10069050	OTHER	GA	AMERIGROUP
12	1755	OTHER	GA	COVENTRY HMO
13	4043023	OTHER	GA	AETNA
14	330747	OTHER	GA	WELLCARE
15	842625	OTHER	GA	BCBS

General Provider Information

NPI Number	:	1518964931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERI S SALIT M.D.

Provider Business Mailing Address
First Line	:	5901A PEACHTREE DUNWOODY RD NE
Second Line	:	STE 500
City	:	ATLANTA
State	:	GA
Zip	:	30328-5382
Country	:	US
Telephone Number	:	678-892-2020
Fax Number	:	678-538-1950

Provider Business Practice Location Address
First Line	:	5995 BARFIELD RD
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-4411
Country	:	US
Telephone Number	:	404-256-9600
Fax Number	:	404-250-0440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	03/08/2021

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Directions to “ DR. JERI S SALIT M.D.” Practice Location

Language	Start Address	Practice Location

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