DR. SALVATORE JOHN DELLACONA (M.D.) – Family Medicine Physician, NPI 1063463750

DR. SALVATORE JOHN DELLACONA (M.D.) is a healthcare provider. based in Lizella, Georgia. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 034329 (GA). The NPI Number for DR. SALVATORE JOHN DELLACONA (M.D.) is 1063463750

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. SALVATORE JOHN DELLACONA (M.D.)
NPI
1063463750
Phone
(478) 335-4862
Address
1700 SPRINGHILL CHURCH RD
Enumeration Date
15 May 2006
Last Update Date
10 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4783354862
Graduation Year
1980 (46 years ago)
PAC ID
8426040031
Professional Enrollment ID
I20200728000512
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. SALVATORE JOHN DELLACONA (M.D.)

  • 1700 SPRINGHILL CHURCH RD

    LIZELLA, GA 31052

    Phone: (478) 335-4862

    Fax: (478) 477-9098

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200728000512IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31052)

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Reviews

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Frequently asked questions

Can I cross-check DR. SALVATORE JOHN DELLACONA (M.D.) using NPI 1063463750?
NPI 1063463750 belongs to DR. SALVATORE JOHN DELLACONA (M.D.); compare other details if you need extra assurance.
Is DR. SALVATORE JOHN DELLACONA (M.D.) still an active registrant?
DR. SALVATORE JOHN DELLACONA (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. SALVATORE JOHN DELLACONA (M.D.)?
DR. SALVATORE JOHN DELLACONA (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SALVATORE JOHN DELLACONA (M.D.)?
Travel planning: use Lizella, Georgia as the reference point for DR. SALVATORE JOHN DELLACONA (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. SALVATORE JOHN DELLACONA (M.D.) is noted as May 15, 2006 where the registry provides it.

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