Danielle M Nelson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8750 Issued in GA

Practice address

1365 Rock Quarry Rd Ste 300
Stockbridge, GA 30281-5024

Phone

(770) 740-1860

Fax

(678) 347-2104

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• ENT of Georgia, LLC

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1922046424
  NPD (past)
• Hcenti, LLC

  • Audiologist-Hearing Aid Fitter
  • Alpharetta, GA
  • NPI 1356836878
  NPD (past)
• Keith M Dockery, MD PC

  • Audiologist
  • Atlanta, GA
  • NPI 1003000308
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1437640174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY",
            "address_2": "STE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055211",
            "telephone_number": "770-740-1860",
            "fax_number": "678-347-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 ROCK QUARRY RD STE 300",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815024",
            "telephone_number": "770-740-1860",
            "fax_number": "678-347-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS CERTIFICATION",
            "identifier": "1151025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE MEDICAL BOARD STATE LICENSURE",
            "identifier": "8750",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucretia Denoi Nave, MD
• Erika Lakisa Neely
• Nehemiahs Transportation Nemt LLC
• Susanna Nehikhuere
• Kim Vu Neisler, MD
• Janine Nelson
• Victoria Nelson, CCC-SLP
• Trevean Nesfield-Brown, LCSW
• Lance Alfrred Netland, TH.M.
• Neurocare Institute of Georgia

• Physician Assistant in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.