DR. JACK T SALTZ (M.D.) – Family Medicine Physician, NPI 1336212513

DR. JACK T SALTZ (M.D.) is a healthcare provider. based in Powder springs, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 031115 (GA). The NPI Number for DR. JACK T SALTZ (M.D.) is 1336212513

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK T SALTZ (M.D.)
NPI
1336212513
Phone
(770) 943-3139
Address
4039 ATLANTA ST
Enumeration Date
16 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709433139
Graduation Year
1982 (44 years ago)
PAC ID
5698706422
Group Practice PAC ID
6002802220
Professional Enrollment ID
I20101111000023
Address ID
GA301066818AU3825XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,117 FAMILY PRACTICE in GA

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Provider Addresses for DR. JACK T SALTZ (M.D.)

  • 4039, Atlanta Street, Powder Springs, Cobb County, Georgia, 30127, United States

    POWDER SPRINGS, GA 301272666

    Phone: (770) 943-3139

    Fax: (770) 439-5501

    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)

CMS reports 76 Open Payments records for all available years, with a total value of $1,455.

Total Amount is formed as General ($1,455) + Research ($0) + Ownership ($0) = $1,455.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($199).

Total Amount

$1,455

General + Research + Ownership

Payments

76

Total payment records

General Amount

$1,455

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-11

PECOS data refreshed: 2026-06-15

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
I20101111000023IFamily 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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes433221$0
36415Insertion of needle into vein for collection of blood sample384217$0
99213Established patient office or other outpatient visit, 20-29 minutes8267$0
G0008Administration of influenza virus vaccine5857$0
90662Influenza vaccine split virus, preservative free4746$0
View full utilization report →

Insurance plans in this area (ZIP 30127)

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Provider's Procedures

DR. JACK T SALTZ (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA81002Urinalysis, manual test175143
FAMILY MEDICINEGA90670Pneumococcal vaccine for injection into muscle5151

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002802220View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. JACK T SALTZ (M.D.) in U.S. healthcare records?
The official identifier for DR. JACK T SALTZ (M.D.) is NPI 1336212513.
Is DR. JACK T SALTZ (M.D.) still an active registrant?
DR. JACK T SALTZ (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JACK T SALTZ (M.D.)?
At a glance, DR. JACK T SALTZ (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. JACK T SALTZ (M.D.) registered?
Use Powder Springs, Georgia as the headline location for DR. JACK T SALTZ (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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