Nelson Charlie, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME85619 Issued in FL

Practice address

1800 SE 10TH Ave
Suite 305
Fort Lauderdale, FL 33316-2901

Phone

(954) 467-4100

Fax

(954) 467-4080

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Yale University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nelson Charlie MD PAGroup PAC ID 8729051057, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Nelson Charlie MD PA

  • Procedural Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1750404844
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1811998982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE 10TH AVE",
            "address_2": "SUITE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162901",
            "telephone_number": "954-467-4100",
            "fax_number": "954-467-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE 10TH AVE",
            "address_2": "SUITE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162901",
            "telephone_number": "954-467-4100",
            "fax_number": "954-467-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLIE",
        "first_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME85619",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME85619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigial Renee Charles
• Esther Charles
• Fabiola M Charles
• Kipson Charles
• Marie Carline Charles, APRN
• Paola Charlier
• Josiette Charlot-Charles-Pierre
• Sudlaire Theresa Charlotin, MSN, RN, FNP-BC
• Charmaine Johnson-Leong, DDS, PA
• Barry Charnick, MD

• Dermatology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.