Individual provider Active NPI

Nelson B Isada, M.D.

  • Maternal & Fetal Medicine Physician
  • Athens, GA
National Provider Identifier
1508925611
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
97768 Issued in GA
Practice address
700 Sunset Dr Ste 301
Athens, GA 30606-7721
Phone
(706) 549-0087
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 0101037336 VA
Maternal & Fetal Medicine Physician 207VM0101X 3596 AK
Maternal & Fetal Medicine Physician 207VM0101X 97768 GA Primary

Addresses

Primary practice location

700 Sunset Dr Ste 301
Athens, GA 30606-7721

Mailing address

700 Sunset Dr Ste 301
Athens, GA 30606-7721
Phone (706) 549-0087

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nisada16442@ak.providencedirect.org
Direct Messaging Address nisada16442@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20201204002341 IN Practitioner - Obstetrics/Gynecology 0244394930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 W Martin Luther King Blvd
Suite 1068
Chattanooga, TN 37402-2560

PO Box
Suite 277279
Atlanta, GA 30384-7279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3596AKMDMaternal & Fetal Medicine Physician
97768GAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. Maternal & Fetal Medicine CurrentSince Dec 3, 2020 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc CurrentSince Dec 3, 2020 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Dec 3, 2020 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Current Accepting new patients
Alaska Perinatology Associates Maternal & Fetal Medicine Past Accepting new patients
Pediatrix Medical Group of Georgia, P.C. Maternal & Fetal Medicine PastSince Jun 8, 2026 Accepting new patients

Locations

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

611 E Douglas Rd
Ste 407
Mishawaka, IN 46545
Phone (574) 335-6500

60205 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 232-2177

611 E Douglas Rd
Ste 402
Mishawaka, IN 46545
Phone (574) 335-6700

611 E Douglas Rd
Ste 137
Mishawaka, IN 46545
Phone (574) 335-6214

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987

707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1508925611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 301",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067721",
            "telephone_number": "706-549-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 301",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067721",
            "telephone_number": "706-549-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISADA",
        "first_name": "NELSON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "VA",
            "license": "0101037336",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AK",
            "license": "3596",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "GA",
            "license": "97768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nisada16442@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3340 Providence Dr Ste A565",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nisada16442@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3340 Providence Dr Ste A565",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.