Thomas H Nelson MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29728 Issued in TN

Legal business name

THOMAS H NELSON MD

Practice address

104 E Main St
Rutherford, TN 38369-9711

Phone

(731) 665-7741

Fax

(731) 855-3273

NPI assigned

Nov 28, 2006

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas H Nelson, M.D.NPI 1417901794

Title

Owner

Phone

(731) 665-7741

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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.

• Thomas Nelson, M.D.

  • Family Medicine Physician
  • Rutherford, TN
  • NPI 1417901794
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1104992544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 QUAIL RDG",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383824000",
            "telephone_number": "731-665-7741",
            "fax_number": "731-855-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "city": "RUTHERFORD",
            "state": "TN",
            "postal_code": "383699711",
            "telephone_number": "731-665-7741",
            "fax_number": "731-855-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H NELSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-665-7741",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "29728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4134362",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TN",
            "identifier": "3235325",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3235325",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell E Little, APN
• Candace Clanton McCaig, PHARM D.
• Thomas Nelson, M.D.
• Casey Oliver, PHARMD
• The Rutherford Medical Clinic LLC
• Bethany Turner, PTA

• Family Medicine Physician in Rutherford, TN
• Providers in Rutherford, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.