Ronald Andrew Nelson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD0000031447 Issued in TN

Practice address

515 Highland Ter
Suite a
Murfreesboro, TN 37130-2472

Phone

(615) 904-2010

Fax

(615) 904-6285

NPI assigned

Jul 12, 2006

Last updated

Oct 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TN

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

Dermatology

Education

Vanderbilt University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stones River Dermatology PLCGroup PAC ID 9436346293, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EABBBA
• Direct secure messaging: ronald.nelson@srderm.eclinicaldirectplus.com

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.

• Stones River Dermatology PLC

  • Dermatology Physician
  • Murfreesboro, TN
  • NPI 1609178102
  Medicare reassignment Care Compare group NPD Authorized official
• Vanderbilt Integrated Providers, LLC

  dba Vanderbilt Integrated Providers

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1982625091
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1760407944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HIGHLAND TER",
            "address_2": "SUITE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302472",
            "telephone_number": "615-904-2010",
            "fax_number": "615-904-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HIGHLAND TER",
            "address_2": "SUITE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302472",
            "telephone_number": "615-904-2010",
            "fax_number": "615-904-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RONALD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD0000031447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4084329",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3871904",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmyne Nelson, LCSW
• Karissa Nelson, PT
• Lindsey Lee Nelson, FNP-C
• Monica Nelson
• Nyoka Nichelle Nelson, DC
• Neonatology Care PC
• Alison Ness, MS, ATC, LAT
• Hanna Nettles, RBT
• Joseph Bernard Neubauer, D.P.M.
• Neurogevity LLC

• Dermatology Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.