David Neilsen, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

49836 Issued in GA

Practice address

2855 Old Highway 5
Blue Ridge, GA 30513-6248

Phone

(800) 291-4020

Fax

(919) 419-7247

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family PracticeAlso: Emergency Medicine

Education

Medical College of Georgia School of Medicine, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Lanier Family Healthcare, LLCGroup PAC ID 9537198478, 3 clinicians

Orris Vein CenterGroup PAC ID 0345783882, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lanier Family Healthcare, LLC

  • Primary Care Clinic/Center
  • Cumming, GA
  • NPI 1508950569

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Orris Vein Center

  • Phlebology Physician
  • Cumming, GA
  • NPI 1598518516
  Medicare reassignment Care Compare group NPD
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, GA

  Medicare reassignment NPD
• Kayenta Alternative Rural Hospital

  • General Acute Care Hospital
  • Kayenta, AZ
  • NPI 1174692529

  TX

  Medicare reassignment NPD
• Fannin Ed Physicians LLC

  • Emergency Medicine Physician
  • Blue Ridge, GA
  • NPI 1871791277
  NPD (past)
• Nes of Florida, Inc.

  • Emergency Medicine Physician
  • Hinesville, GA
  • NPI 1316365729
  NPD (past)
• North Georgia Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Ellijay, GA
  • NPI 1336172923
  NPD (past)
• Northside Primary Care Professional Services,LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1922397553
  NPD (past)
• Kayenta Alternative Rural Hospital

  • General Acute Care Hospital
  • Tonalea, AZ
  • NPI 1740359108
  NPD (past)
• Oregon Trail Emergency Physicians LLC

  • Emergency Medicine Physician
  • Casper, WY
  • NPI 1518125384
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1023076270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 LIBERTY LN",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345036",
            "telephone_number": "706-974-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 OLD HIGHWAY 5",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136248",
            "telephone_number": "800-291-4020",
            "fax_number": "919-419-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILSEN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "49836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Murray, CPNP
• Jennifer Myers
• National Response Solutions, LLC
• Natural Healing Concepts, LLC
• Lindsey Stewart Neel
• New Ground Care LLC
• Michael Newberry, M.D.
• Amanda M Newton, M.D.
• Justin Doyle Nicholson, NP-C
• Lindsey Panter Niknezhad, PA-C

• Emergency Medicine Physician in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.