Christopher Lee Nelson, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

37667 Issued in KY

Practice address

42 Business Centre Dr
Suite 308
Miramar Beach, FL 32550-6920

Phone

(850) 460-8778

Fax

(850) 460-8779

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

State licenses

Practice roles

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.

• Emerald Coast Services, LLC

  • Clinical Medical Laboratory
  • Southfield, MI
  • NPI 1912384645
  NPD (past) Authorized official
• Chiropractic Rehabilitation & Injury Clinic Inc

  • Chiropractor
  • Paducah, KY
  • NPI 1235272535
  NPD (past)
• Pain Control Network, PSC

  • Pain Clinic/Center
  • Louisville, KY
  • NPI 1467447961
  NPD (past)
• PCN Surgical Suites, LLC

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1952396467
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1386639474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 CHAMPION FARMS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416129",
            "telephone_number": "502-423-1021",
            "fax_number": "502-423-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BUSINESS CENTRE DR",
            "address_2": "SUITE 308",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506920",
            "telephone_number": "850-460-8778",
            "fax_number": "850-460-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "37667",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200201130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64065196",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NORTH CAROLINA",
            "identifier": "1329F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "37667",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME 123663",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farah Munia, PHARMD
• Kathleen Murdock, BCBA
• Kristi A Myers, RN
• Carrie Cummings Nagrani, ARNP
• Christina Marie Nall, ARNP
• Taylor Sloane Nettina
• Allison Newsom
• Gerald David Nicklen, PHD, LICSW
• North Florida Surgeons, PA
• Laura Nugent, LMT

• Interventional Pain Medicine Physician in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.