NPIMap

Organization Active NPI

Christopher G. Nelson, M.D., P.a.

  • Dermatopathology Physician
  • St Petersburg, FL
National Provider Identifier
1407809171
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
Legal business name
CHRISTOPHER G. NELSON, M.D., P.A.
Practice address
350 6TH St S
St Petersburg, FL 33701-4449
Phone
(727) 895-8131
NPI assigned
May 17, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Dr. Christopher Grant Nelson, M.D.NPI 1982653317
Title
Physician
Phone
(727) 895-8131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X Primary

Addresses

Primary practice location

350 6TH St S
St Petersburg, FL 33701-4449

Mailing address

350 6TH St S
St Petersburg, FL 33701-4449
Phone (727) 895-8131

Other practice location 1

870 77th Ave N Ste 1
Saint Petersburg, FL 33702-5240
Phone (727) 895-8131

Other practice location 2

1615 Pasadena Ave S Ste 100
South Pasadena, FL 33707-4515
Phone (727) 895-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060727000414 FL Part B Supplier - Clinic/Group Practice 7416960034 Receives reassigned benefits from 5 practitioners
Practice locations: S Pasadena, FL; Saint Petersburg, FL; St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

350 6th St S
St Petersburg, FL 33701
Phone (727) 895-8131

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1407809171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014449",
            "telephone_number": "727-895-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014449",
            "telephone_number": "727-895-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 77th Ave N Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337025240",
            "country_code": "US",
            "telephone_number": "727-895-8131",
            "fax_number": "727-821-1292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Pasadena Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "FL",
            "postal_code": "337074515",
            "country_code": "US",
            "telephone_number": "727-895-8131",
            "fax_number": "727-821-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTOPHER G. NELSON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-895-8131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.