Active NPI
James A Nelson, M.D.
- Family Medicine Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 83970
- Practice address
- 803 N Jefferson St
Albany, GA 31701-2373 - Phone
- (229) 312-7800
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 83970 | GA | Primary |
| Family Medicine Physician | 207Q00000X | ME0046524 | FL |
Addresses
Primary practice location
803 N Jefferson St
Albany, GA 31701-2373
Mailing address
803 N Jefferson St
Albany, GA 31701-2373
Phone (229) 312-7800
Other practice location 1
1110 Druid Cir
Lake Wales, FL 33853-4307
Phone (863) 676-7914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052353400 | Medicaid | FL | |
| 003224838D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0046524 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Family Medicine,Coffee County | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Tanner Medical Group Inc | Family Medicine | Current | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
803 N Jefferson St
Albany, GA 31701
Phone (229) 312-4155
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
706 Dixie St
Ste 350
Carrollton, GA 30117
Phone (770) 812-5831
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
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 and National Provider Directory roles.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
Family Medicine
-
- Clinic/Center
- Douglas, GA
- NPI 1477997278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1518964873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 N JEFFERSON ST",
"city": "ALBANY",
"state": "GA",
"postal_code": "317012373",
"telephone_number": "229-312-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 N JEFFERSON ST",
"city": "ALBANY",
"state": "GA",
"postal_code": "317012373",
"telephone_number": "229-312-7800"
}
],
"practiceLocations": [
{
"address_1": "1110 Druid Cir",
"address_purpose": "LOCATION",
"city": "Lake Wales",
"state": "FL",
"postal_code": "338534307",
"country_code": "US",
"telephone_number": "863-676-7914",
"fax_number": "863-676-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "JAMES",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "83970",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0046524",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052353400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003224838D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.