Organization Active NPI

Percy Lee Nelson DPM PA

  • Podiatrist
  • Aventura, FL
National Provider Identifier
1093072589
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PERCY LEE NELSON DPM PA
Practice address
2627 NE 203Rd St Ste 100a
Aventura, FL 33180-1945
Phone
(305) 466-9498
Fax
(305) 466-9698
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Percy Lee Nelson, DPMNPI 1184631053
Title
Owner
Phone
(305) 466-9498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2627 NE 203Rd St Ste 100a
Aventura, FL 33180-1945

Mailing address

2627 NE 203Rd St Ste 100a
Aventura, FL 33180-1945
Phone (305) 446-9498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121119000496 FL Part B Supplier - Clinic/Group Practice 4082863964 Receives reassigned benefits from 1 practitioner
Practice locations: Aventura, FL

National Provider Directory

National Provider Directory

Locations

2630 NE 203rd St
Ste 102
Miami, FL 33180
Phone (305) 466-9498

2627 NE 203rd St
Ste 100A
Miami, FL 33180
Phone (305) 466-9498

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1093072589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST STE 100A",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801945",
            "telephone_number": "305-446-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST STE 100A",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801945",
            "telephone_number": "305-466-9498",
            "fax_number": "305-466-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERCY LEE NELSON DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PERCY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-466-9498",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.