Active NPI
Nelson B Isada, M.D.
- Maternal & Fetal Medicine Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 97768
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3596 | AK | MD | Maternal & Fetal Medicine Physician |
| 97768 | GA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Maternal & Fetal Medicine | Current | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | 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 | Past | 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.
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
-
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Hospitalist Physician
- Plymouth, IN
- NPI 1821402876
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1780766261
Maternal & Fetal Medicine
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Maternal & Fetal Medicine Physician
- Anchorage, AK
- NPI 1184783391
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1295827574
Maternal & Fetal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.