Active NPI
David Monroe Nelson, MD
- Pain Medicine Physician
- Pooler, GA
National Provider Identifier
1003848664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 31085
- Practice address
- 138 Canal St Ste 201
Pooler, GA 31322-4047 - Phone
- (912) 348-3833
- Fax
- (912) 348-2669
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 31085 | GA | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 31085 | GA | |
| General Practice Physician | 208D00000X | 31085 | GA | |
| Pain Medicine Physician | 208VP0000X | 31085 | GA | Primary |
Addresses
Primary practice location
138 Canal St Ste 201
Pooler, GA 31322-4047
Mailing address
113 Chancery LN
Savannah, GA 31410-3198
Phone (912) 897-1702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000466573B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31085 | GA | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1003848664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 CHANCERY LN",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314103198",
"telephone_number": "912-897-1702",
"fax_number": "912-352-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 CANAL ST STE 201",
"city": "POOLER",
"state": "GA",
"postal_code": "313224047",
"telephone_number": "912-348-3833",
"fax_number": "912-348-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DAVID",
"middle_name": "MONROE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "GA",
"license": "31085",
"primary": false
},
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "GA",
"license": "31085",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "31085",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "31085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000466573B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
- Myeyedr Optometry of Georgia, LLC
- Valisia Myrick
- National Vision Inc
- Hannah Leann Naude, PMHNP-BC
- Sherie Gaye Antoinette Nelson-Allen
- Tiffany La'Trelle Nelson
- Neuro Center for Pediatric Development
- Never Left Alone Concierge Services LLC
- New Heights Personal Care Homes, LLC
- New Horizon Home Care Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.