Individual provider Active NPI

Thomas Jon Nelsen, PA

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1669228599
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2800 Ashton Dr Ste 200
Wilmington, NC 28412-2486
Phone
(910) 799-2262
Fax
(910) 799-2943
NPI assigned
Apr 30, 2024
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2800 Ashton Dr Ste 200
Wilmington, NC 28412-2486

Mailing address

2800 Ashton Dr Ste 200
Wilmington, NC 28412-2486
Phone (910) 799-2262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331001116 NC Practitioner - Physician Assistant 1951824085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Brain and Spine, P.a.Group PAC ID 0840215786, 22 clinicians

Practice addresses (Care Compare)

2208 S 17TH St
Suite 201
Wilmington, NC 28401-7594
Phone (910) 763-3333

2800 Ashton Dr
Suite 200
Wilmington, NC 28412-2486
Phone (910) 799-2262

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-15071NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Neurosurgical & Spine Specialist, P.a CurrentSince Feb 10, 2025 Accepting new patients

Locations

2208 S 17th St
Wilmington, NC 28401
Phone (910) 763-3333

2208 S 17th St
Ste 201
Wilmington, NC 28401
Phone (910) 763-3333

2800 Ashton Dr
Ste 200
Wilmington, NC 28412
Phone (910) 799-2262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1669228599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ASHTON DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122486",
            "telephone_number": "910-799-2262",
            "fax_number": "910-799-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ASHTON DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122486",
            "telephone_number": "910-799-2262",
            "fax_number": "910-799-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "THOMAS",
        "middle_name": "JON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.