Individual provider Active NPI

Magalie Nelson, M.D.

  • Otolaryngology Physician
  • Albany, GA
National Provider Identifier
1083720411
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
067777 Issued in GA
Practice address
605 Pointe North Blvd
Albany, GA 31721-1514
Phone
(229) 435-7161
Fax
(229) 438-8588
NPI assigned
Aug 21, 2006
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 067777 GA Primary

Addresses

Primary practice location

605 Pointe North Blvd
Albany, GA 31721-1514

Mailing address

5025 Barrington Dr
Albany, GA 31721-8991
Phone (229) 435-7161

Other identifiers 1

IdentifierTypeStateIssuer
003126322DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121029000316 GA Practitioner - Otolaryngology 6305842428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-3294

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone (770) 237-3475

1990 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone (678) 689-1100

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
067777GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Jun 1, 2023 Accepting new patients
Albany Ear Nose Throat Sinus & Allergy LLC Otolaryngology CurrentSince May 24, 2014 Accepting new patients
Milton Hall Surgical Associates, LLC CurrentSince Sep 1, 2012 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Associates in ENT & Allergy PA Otolaryngology PastSince Nov 1, 2006 Accepting new patients

Locations

605 Pointe North Blvd
Albany, GA 31721
Phone (229) 435-7161

2365 Old Milton Pkwy
Ste 300
Alpharetta, GA 30009
Phone 7705161775201

1595 Highway 34 E
Newnan, GA 30265
Phone (678) 206-2202

710 Newnan Crossing Byp
Ste E
Newnan, GA 30263
Phone (678) 708-4300

4000 Shakerag Hl
Ste 204
Peachtree City, GA 30269
Phone (678) 578-7636

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBGDD/Endpoint/BBBGDD

Organizations & group practices 5

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1083720411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 BARRINGTON DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317218991",
            "telephone_number": "229-435-7161",
            "fax_number": "229-438-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 POINTE NORTH BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317211514",
            "telephone_number": "229-435-7161",
            "fax_number": "229-438-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MAGALIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "067777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126322D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.