Organization Active NPI

Dr. Addison B. Nelson LLC

  • Clinic/Center
  • Mount Pleasant, SC
National Provider Identifier
1194065920
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3763 Issued in SC
Legal business name
DR. ADDISON B. NELSON LLC
Practice address
874 Whipple Rd
200
Mount Pleasant, SC 29464-8900
Phone
(843) 400-4087
Fax
(843) 636-5689
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Dr. Addison Nelson, D.C.
Title
Owner
Phone
(843) 400-4087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3763 SC Primary

Addresses

Primary practice location

874 Whipple Rd
200
Mount Pleasant, SC 29464-8900

Mailing address

874 Whipple Rd
200
Mount Pleasant, SC 29464-8900

Other names 1

  • NeuroLogic Integrated Health Other name

National Provider Directory

National Provider Directory

Locations

2504 Highmarket St
Georgetown, SC 29440
Phone (843) 546-3020

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1194065920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 WHIPPLE RD",
            "address_2": "200",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 WHIPPLE RD",
            "address_2": "200",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648900",
            "telephone_number": "843-400-4087",
            "fax_number": "843-636-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ADDISON B. NELSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ADDISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-400-4087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroLogic Integrated Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.