Individual provider Active NPI

James A Nelson, M.D.

  • Family Medicine Physician
  • Albany, GA
National Provider Identifier
1518964873
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83970 Issued in GA
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

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
052353400MedicaidFL
003224838DMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191127000711 GA Practitioner - Family Practice 8527012541 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0046524FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Family Medicine,Coffee County CurrentSince Sep 1, 2019 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Sep 1, 2019 Accepting new patients
Tanner Medical Group Inc Family Medicine CurrentSince Jun 3, 2024 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.

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

Verify at the official NPI Registry.