Wallace R Nelms Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20830 Issued in NC

Practice address

2546 Ward Boulevard
Wilson, NC 27893

Phone

(252) 399-0707

Fax

(252) 291-7079

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 1975

Medicare assignment

May accept Medicare assignment

Group practices

Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Greenville, NC, CCN 347031
• Wilson Medical Center Hospital, Wilson, NC, CCN 340126

Merit-based Incentive Payment System (MIPS)

Final score

24 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

80

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Nelms Family & Preventive Medicine, P.a.

  • Family Medicine Physician
  • Wilson, NC
  • NPI 1912078353
  Medicare reassignment NPD Authorized official
• Comprehensive Rehab of Wilson, Inc.

  • Physical Therapist
  • Wilson, NC
  • NPI 1861450884
  Care Compare group
• Carolina Breast Imaging Specialists PLLC

  • Diagnostic Radiology Physician
  • Greenville, NC
  • NPI 1740626605
  NPD (past)

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

• DLP Wilson Medical Center LLC

  • General Acute Care Hospital
  • Wilson, NC
  • NPI 1215359922
  Care Compare affiliation
• DLP Wilson Medical Center LLC

  • Psychiatric Hospital Unit
  • Wilson, NC
  • NPI 1386196459
  Care Compare affiliation
• Eastern Carolina Home Health Agency, LLC

  • Home Health Agency
  • Greenville, NC
  • NPI 1396775136
  Care Compare affiliation

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1710081161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 WARD BOULEVARD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-399-0707",
            "fax_number": "252-291-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 WARD BOULEVARD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-399-0707",
            "fax_number": "252-291-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS",
        "first_name": "WALLACE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "20830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "62099",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8962099",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie a. Doyle, M. D., P. a.
• Natalie a. Doyle, MD
• Creig Jermane Neal
• Douglas Russell Neal, OTR
• Nelms Family & Preventive Medicine, P.a.
• Emily Nelson, ST
• April Ferrell Nesbit, RD, LDN
• New Hope Behavioral Services Inc
• New Phoenix LLC.
• New Phoenix LLC.

• Family Medicine Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.