Scott Nelson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12527 Issued in MS

Practice address

907 E Sunflower Rd
Ste 101
Cleveland, MS 38732-2830

Phone

(662) 721-1399

Fax

(662) 721-1380

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Nelson Medical Consulting, Inc.

  dba Cleveland Family Medicine Clinic

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1063596757
  Authorized official Same address or phone
• First Intermed Corporation

  dba MEA Medical Clinics

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1932133931
  NPD (past)
• J and R Chiropractic Inc.

  • Chiropractor
  • Cleveland, MS
  • NPI 1588868194
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336220276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E SUNFLOWER RD",
            "address_2": "STE 101",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322830",
            "telephone_number": "662-721-1399",
            "fax_number": "662-721-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E SUNFLOWER RD",
            "address_2": "STE 101",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322830",
            "telephone_number": "662-721-1399",
            "fax_number": "662-721-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115141",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Kendell Morris, M.D.
• Matthew Jackson Mosow, PT
• Ms State Hospital Crisis Intervention Center - Clevenlan
• Natural Pain Back Institute, LLC
• Nelson Medical Consulting, Inc. (Cleveland Family Medicine Clinic)
• Jasanda Wyketta Netter, M.S., CCC-SLP
• New Covenant Hospice, LLC
• New Perspective Counseling and Consultation, LLC
• Nexion Health at Cleveland, Inc. (Delta Rehabilitation and Healthcare Center)
• North Street Adult Daycare

• Family Medicine Physician in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.