Individual provider Active NPI

Theresa Joan Nelson, FNP-C

  • Family Nurse Practitioner
  • Whiteville, NC
National Provider Identifier
1124505219
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010716 Issued in NC
Practice address
805 S Madison St
Whiteville, NC 28472-4613
Phone
(910) 642-2050
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5010716 NC Primary

Addresses

Primary practice location

805 S Madison St
Whiteville, NC 28472-4613

Mailing address

7490 Andrew Jackson Hwy SW
Cerro Gordo, NC 28430-9258
Phone (910) 654-2050

Other practice location 1

7490 Andrew Jackson Hwy SW
Cerro Gordo, NC 28430-9258
Phone (910) 654-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180928002667 NC Practitioner - Nurse Practitioner 2163773243 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-8 LLCGroup PAC ID 3870740012, 47 clinicians

Practice addresses (Care Compare)

7473 NC Hwy 22
Whispering Pines, NC 28327-8514
Phone (910) 215-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC CurrentSince Sep 1, 2023 Accepting new patients
MCPC-8, LLC CurrentSince Sep 1, 2023 Accepting new patients
CDT Healthcare CurrentSince Jul 10, 2020 Accepting new patients
Cfvhs Ed Physicians Current Accepting new patients
Emergency Coverage, LLC CurrentSince Sep 5, 2023 Accepting new patients
CDT Healthcare Family CurrentSince Jul 10, 2020 Accepting new patients
Cfvhs Ed Physicians CurrentSince Dec 19, 2019 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Feb 1, 2022 Accepting new patients
MCPC-8, LLC Current Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
MCPC-8, LLC Past Accepting new patients

Locations

208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

225 Capital Dr
Ste 101
Carthage, NC 28327
Phone (910) 215-5100

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3716 Morganton Rd
Ste 2
Fayetteville, NC 28303
Phone (910) 215-5100

1021 W Hamlet Ave
Hamlet, NC 28345
Phone (910) 417-4100

150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200

4565 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-5100

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

101 Walmart Supercenter
Siler City, NC 27344
Phone (919) 663-3911

1690 US Highway 1 S
Ste 100
Southern Pines, NC 28387
Phone (910) 684-2055

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Interoperability endpoints

  • Direct secure messaging: theresanelson@gghpc.allscriptsdirect.net
  • Direct secure messaging: tnelson115583@firsthealth.direct-ci.net

Organizations & group practices 13

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.

View all 13

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1124505219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 ANDREW JACKSON HWY SW",
            "city": "CERRO GORDO",
            "state": "NC",
            "postal_code": "284309258",
            "telephone_number": "910-654-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S MADISON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724613",
            "telephone_number": "910-642-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7490 Andrew Jackson Hwy SW",
            "address_purpose": "LOCATION",
            "city": "Cerro Gordo",
            "state": "NC",
            "postal_code": "284309258",
            "country_code": "US",
            "telephone_number": "910-654-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "THERESA",
        "middle_name": "JOAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.