Individual provider Active NPI

Harry Charles Nelson, MD

  • Obstetrics & Gynecology Physician
  • Greeneville, TN
National Provider Identifier
1497837132
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD018609 Issued in TN
Practice address
1021 Coolidge St
Suite 2
Greeneville, TN 37743-4672
Phone
(423) 636-2300
Fax
(423) 636-0348
NPI assigned
Oct 20, 2006
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD018609 TN Primary

Addresses

Primary practice location

1021 Coolidge St
Suite 2
Greeneville, TN 37743-4672

Mailing address

PO Box 37087
Baltimore, MD 21297-3087
Phone (828) 687-5616

Other identifiers 5

IdentifierTypeStateIssuer
1672216003OtherTNCIGNA
1699819003OtherTNGROUP NPI
3159941OtherTNBLUE CROSS
1497837132OtherTNNPI
3065352MedicaidTN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110216000023 TN Practitioner - Obstetrics/Gynecology 2163602368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Center of Greeneville, PC Obstetrics & Gynecology Current Accepting new patients
Erlanger Health Obstetrics & Gynecology CurrentSince Sep 11, 2023 Accepting new patients
Erlanger Health CurrentSince Sep 11, 2023 Accepting new patients

Locations

979 E 3rd St
Ste C725
Chattanooga, TN 37403
Phone (423) 756-4796

1021 Coolidge St
Ste 2
Greeneville, TN 37743
Phone (423) 636-2300

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1497837132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37087",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973087",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 COOLIDGE ST",
            "address_2": "SUITE 2",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434672",
            "telephone_number": "423-636-2300",
            "fax_number": "423-636-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "HARRY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD018609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1672216003",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1699819003",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3159941",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497837132",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3065352",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.