Theresa Joan Nelson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Whiteville, NC
NPI 1124505219 · NPPES record last updated Jul 23, 2018
Key facts
- NPI
- 1124505219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5010716 (NC)
- Practice address
- 805 S Madison St
Whiteville, NC 28472-4613 - Phone
- (910) 642-2050
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCPC-8 LLC
Practice addresses (Care Compare)
7473 NC Hwy 22
Whispering Pines, NC 28327-8514
Phone (910) 215-5100
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180928002667 | NC | Practitioner - Nurse Practitioner | 2163773243 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010716 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cfvhs Ed Physicians | Current | Accepting new patients | |
| FHPG, LLC | Current |
Accepting new patients | |
| Cfvhs Ed Physicians | Current |
Accepting new patients | |
| FHPG, LLC | Current |
Accepting new patients | |
| Emergency Coverage, LLC | Current |
Accepting new patients | |
| Carolina Quickcare Family Practice, PLLC | Current |
Accepting new patients | |
| MCPC-8, LLC | Current | Accepting new patients | |
| MCPC-8, LLC | Current |
Accepting new patients | |
| MCPC-8, LLC | Current |
Accepting new patients | |
| G&G Healthcare,PC Whiteville | Current |
Accepting new patients | |
| CDT Healthcare | Family | Current |
Accepting new patients |
| G&G Healthcare, PC | Current |
Accepting new patients | |
| CDT Healthcare | Current |
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
7490 Andrew Jackson Hwy SW
Cerro Gordo, NC 28430
Phone (910) 654-2050
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
805 S Madison St
Whiteville, NC 28472
Phone (910) 316-4352
Interoperability endpoints
- theresanelson@gghpc.allscriptsdirect.net
- tnelson115583@firsthealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5010716 | NC | Yes |
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
Other providers in Whiteville, NC
- Andrea J Nance
- National Mentor Healthcare, LLC
- National Mentor Healthcare, LLC
- Native Angels Homecare Agency Inc
- Phillip Trey Nealey
- New Directions Group Care Management
- New Directions Group Care Management, LLC
- New Directions Home Health
- New Directions Home Health
- New Directions Home Health
All providers in Whiteville, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.