Organization Active NPI

Nelson Medical Consulting, Inc.

Doing business as Cleveland Family Medicine Clinic

  • Family Medicine Physician
  • Cleveland, MS
National Provider Identifier
1063596757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NELSON MEDICAL CONSULTING, INC.
Doing business as
Cleveland Family Medicine Clinic
Practice address
907 E Sunflower Rd
Ste 101
Cleveland, MS 38732-2830
Phone
(662) 721-1399
Fax
(662) 721-1380
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Nelson, MDNPI 1336220276
Title
Owner
Phone
(662) 721-1399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

907 E Sunflower Rd
Ste 101
Cleveland, MS 38732-2830

Mailing address

907 E Sunflower Rd
Ste 101
Cleveland, MS 38732-2830
Phone (662) 721-1399

Other identifiers 1

IdentifierTypeStateIssuer
04159031MedicaidMS

Other names 1

  • Cleveland Family Medicine Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

110 E End St
#A
Cleveland, MS 38732
Phone (662) 721-1399

907 E Sunflower Rd
Ste 104
Cleveland, MS 38732
Phone (662) 721-1399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063596757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E SUNFLOWER RD",
            "address_2": "STE 101",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322830",
            "telephone_number": "662-721-1399",
            "fax_number": "662-721-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E SUNFLOWER RD",
            "address_2": "STE 101",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322830",
            "telephone_number": "662-721-1399",
            "fax_number": "662-721-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON MEDICAL CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-721-1399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04159031",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.