David Lee Nelson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

021624 Issued in LA

Practice address

1501 Kings Hwy
Department of Family Medicine
Shreveport, LA 71103-4228

Phone

(318) 675-8032

Fax

(318) 675-8775

NPI assigned

Jul 17, 2006

Last updated

Jul 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leatherwood Emergency Group LLCGroup PAC ID 0749521250, 13 clinicians

Lsu Health Sciences Center Shreveport Faculty Group PracticeGroup PAC ID 4082902721, 567 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oakdale Community Hospital Hospital, Oakdale, LA, CCN 190106
• Ochsner Lsu Health Shreveport-St Mary Medical Cent Hospital, Shreveport, LA, CCN 190317
• Ochsner Lsu Health Shreveport Hospital, Shreveport, LA, CCN 190098

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dnelson@yourcarecommunity.org
• Direct secure messaging: dnelson728822@direct.ochsner.org

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.

• Leatherwood Emergency Group, LLC

  • Emergency Medicine Physician
  • Oakdale, LA
  • NPI 1760946313
  Medicare reassignment Care Compare group NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Kisatchie Emergency Group, LLC

  • Emergency Medicine Physician
  • Leesville, LA
  • NPI 1235693847
  Medicare reassignment NPD
• Nes Louisiana Inc

  • Emergency Medicine Physician
  • Natchitoches, LA
  • NPI 1669922431
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Louisiana Inc

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1396253407
  Medicare reassignment NPD
• Concord North Texas, PLLC

  • Emergency Medicine Physician
  • Bonham, TX
  • NPI 1952761173

  LA

  Medicare reassignment NPD
• Nes Louisiana Inc

  • Emergency Medicine Physician
  • Springhill, LA
  • NPI 1649867789
  NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  Family Medicine

  NPD
• GPN-Leesville, LLC

  • Hospitalist Physician
  • Leesville, LA
  • NPI 1013494186
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CLHG-Oakdale, LLC

  dba Oakdale Community Hospital

  • General Acute Care Hospital
  • Oakdale, LA
  • NPI 1104873710
  Care Compare affiliation
• Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC

  dba Ochsner LSU Health Shreveport - St. Mary Medical Center

  • Women's Hospital
  • Shreveport, LA
  • NPI 1285253252
  Care Compare affiliation
• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1427536325
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1194743658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-8032",
            "fax_number": "318-675-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-8032",
            "fax_number": "318-675-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "021624",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "021624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699179",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Halim Fairfield Family Clinic
• Rhonda Neil, MSC/PLPC
• Nelson & Nelson Apmc
• Amaria Nelson
• Brenda Lavon Nelson
• Edith Nelson
• Latonya Monique Nelson, LPN
• Lillian Nelson, M.D.
• Mark Steven Nelson, R.PH.
• Rarlensee Nelson

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.