Robert Anthony Nelson, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

032261 Issued in GA

Practice address

107 Upper Riverdale Rd SW Ste a
Riverdale, GA 30274-2504

Phone

(770) 376-9333

NPI assigned

Jun 5, 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 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rnelson@direct.southernregional.org
• Direct secure messaging: robert.nelson.1@18187.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DFJAED/Endpoint/DFJAED

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.

• Nsight Orthopedics and Regenerative Medicine

  • Orthopaedic Surgery Physician
  • Riverdale, GA
  • NPI 1790641660
  Medicare reassignment NPD Authorized official
• Southern Regional Physicians Management Group, LLC

  • Surgery Physician
  • Riverdale, GA
  • NPI 1043677271
  Medicare reassignment NPD
• Dr Osh and Associates Foot and Leg Clinic, PC

  • Podiatrist
  • Milledgeville, GA
  • NPI 1386964872
  NPD (past)
• Estate Clinics by CMG

  • Internal Medicine Physician
  • Riverdale, GA
  • NPI 1043981517
  NPD (past)
• Med Cross Imaging LLC

  • Specialist
  • Eastman, GA
  • NPI 1295780518
  NPD (past)
• Medrad, LLC

  • Specialist
  • Macon, GA
  • NPI 1073082830
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1871532937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "770-233-3444",
            "fax_number": "770-233-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 UPPER RIVERDALE RD SW STE A",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742504",
            "telephone_number": "770-376-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244214",
            "country_code": "US",
            "telephone_number": "770-233-3444",
            "fax_number": "770-233-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "032261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000403565I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• National Vision, Inc.
• Benson Ndubuisi
• Kennard Nears, M.S., LPC, NCC
• Neck & Back Pain Chiropractic
• Ayana Cykia Nelson
• Elif Zeynep Nerez, MD
• Rosemary Nesmith-Hunter
• Neu Life Chiropractic
• New Beginnings Hair Studio Phasei,LLC (New Beginnings)
• New Day Consulting, LLC

• Orthopaedic Surgery Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.