Provider Demographics
NPI:1518964931
Name:SALIT, JERI S (MD)
Entity Type:Individual
Prefix:DR
First Name:JERI
Middle Name:S
Last Name:SALIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5901A PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:STE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5382
Mailing Address - Country:US
Mailing Address - Phone:678-892-2020
Mailing Address - Fax:678-538-1950
Practice Address - Street 1:5995 BARFIELD RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4411
Practice Address - Country:US
Practice Address - Phone:404-256-9600
Practice Address - Fax:404-250-0440
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA038601207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP117681OtherPEACH STATE
GA000623741CMedicaid
GA732561OtherBCBS
GA476687OtherBCBS
GA582209517OtherWORK COMP
GA0816391OtherUHC
GA2048089OtherAETNA HMO
GA00623741AMedicaid
GA180034337OtherRR MEDICARE
GA06427OtherCOVENTRY PPO
GA10069050OtherAMERIGROUP
GA1755OtherCOVENTRY HMO
GA4043023OtherAETNA
GA330747OtherWELLCARE
GA842625OtherBCBS
GA0816391OtherUHC
GA476687OtherBCBS
GA00623741AMedicaid
GA18BDGQLMedicare PIN