Maria Jean Nelsen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

003565 Issued in GA

Practice address

60 Old Highway 5 S
Ellijay, GA 30540-5436

Phone

(706) 276-2000

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jumpstart Fitness IncGroup PAC ID 6901871508, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jumpstart Fitness Inc

  • Optometrist
  • Ellijay, GA
  • NPI 1194948034
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1649386608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 OAK HILL RD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305407662",
            "telephone_number": "630-781-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OLD HIGHWAY 5 S",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405436",
            "telephone_number": "706-276-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "MARIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "003565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Home Care Equipment, Inc
• Mountain Home Care Equipment, Inc.
• Mountain Top Primary Care Medical Associates
• Mountain View Home Care LLC
• Natural Wellness Center of Ellijay
• Nes of Florida Inc
• NG Clinical Services LLC
• Thang Xuan Nguyen, MD
• Lisa H Nichols, LCSW, RN, BC
• North Georgia Emergency Physicians, LLC

• Optometrist in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.

Verify at the official NPI Registry.