Individual provider Active NPI

Jeffrey Scott Nelson, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Memphis, TN
National Provider Identifier
1134539075
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
55881 Issued in TN
Practice address
1301 Primacy Pkwy
Memphis, TN 38119
Phone
(901) 448-0276
NPI assigned
Apr 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55881 TN
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 55881 TN Primary

Addresses

Primary practice location

1301 Primacy Pkwy
Memphis, TN 38119

Mailing address

1301 Primacy Pkwy
Univ of Tennessee, Saint Francis Family Medicine
Memphis, TN 38119-0213
Phone (901) 448-0230

Other practice location 1

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100

Other identifiers 4

IdentifierTypeStateIssuer
Q038577MedicaidTN
1134539075MedicaidMO
230370001MedicaidAR
00477876MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111000920 TN Practitioner - Hospice/Palliative CarePractitioner - Family Practice 6103185566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Specialty Physicians, LLCGroup PAC ID 9739277419, 4 clinicians
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

Memphis, TN 38134
Phone (901) 516-1600

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-8336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Ut Regional One Physicians Inc CurrentSince Jul 1, 2022 Accepting new patients
Ut Regional One Physicians Inc Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Methodist Specialty Physicians, LLC Hospice and Palliative Medicine CurrentSince Mar 26, 2022 Accepting new patients
Methodist Heatlhcare Community Care Associates CurrentSince Nov 14, 2017 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Nov 14, 2017 Accepting new patients

Locations

6400 Shelby View Dr
Ste 101
Memphis, TN 38134
Phone (901) 516-1489

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

Interoperability endpoints

  • Direct secure messaging: jnelson27626@mlh.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1134539075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PRIMACY PKWY",
            "address_2": "UNIV OF TENNESSEE, SAINT FRANCIS FAMILY MEDICINE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190213",
            "telephone_number": "901-448-0230",
            "fax_number": "901-448-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PRIMACY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-448-0276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032807",
            "country_code": "US",
            "telephone_number": "901-545-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "55881",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "55881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q038577",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134539075",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230370001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00477876",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.