James D Nelson, M.D., F.A.A.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD0000015680 Issued in TN

Practice address

149 Walnut Grove Church Rd
Dayton, TN 37321-7925

Phone

(423) 775-5512

Fax

(423) 775-0155

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dayton Pediatrics P C

  • Primary Care Clinic/Center
  • Dayton, TN
  • NPI 1205041555
  NPD (past) Authorized official
• Pediatric Choice LLC

  • Pediatrics Physician
  • Lenoir City, TN
  • NPI 1811023989
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104985340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 WALNUT GROVE CHURCH RD",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373217925",
            "telephone_number": "423-775-5512",
            "fax_number": "423-775-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 WALNUT GROVE CHURCH RD",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373217925",
            "telephone_number": "423-775-5512",
            "fax_number": "423-775-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000015680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008582",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP CARITEN",
            "identifier": "10011360",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "37544",
            "identifier": "BCBS",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "621654001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Monroe, SLP-CCC
• Candice Nichole Moody, DPT
• Lynda M Moore, D.D,S.
• Ian Morris, PHARMD
• Stephanie Lynne Mueller, MD
• Miranda Renee Neuberg, LMSW
• Nicole J. Kammeyer, O.D.
• Ocoee Regional Health Corporation
• Ocoee Regional Health Corporation
• Ocoee Regional Health Corporation

• Pediatrics Physician in Dayton, TN
• Providers in Dayton, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.