Organization Active NPI

Nelson & Nelson VI, P.C.

Doing business as Nelson & Nelson Chiropractic

  • Chiropractor
  • Fayetteville, NC
National Provider Identifier
1871609750
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2169 Issued in NC
Legal business name
NELSON & NELSON VI, P.C.
Doing business as
Nelson & Nelson Chiropractic
Practice address
6021 Raeford Rd
Suite 101
Fayetteville, NC 28304-3053
Phone
(910) 860-5559
Fax
(910) 860-1165
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Garry Nelson, D.C.
Title
President
Phone
(910) 964-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2169 NC Primary

Addresses

Primary practice location

6021 Raeford Rd
Suite 101
Fayetteville, NC 28304-3053

Mailing address

6021 Raeford Rd
Suite 101
Fayetteville, NC 28304-3053
Phone (910) 860-5559

Other names 1

  • Nelson & Nelson Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170103001537 NC Part B Supplier - Clinic/Group Practice 9830470996 Receives reassigned benefits from 3 practitioners
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

6021 Raeford Rd
Ste 101
Fayetteville, NC 28304
Phone (910) 860-5559

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871609750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 RAEFORD RD",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043053",
            "telephone_number": "910-860-5559",
            "fax_number": "910-860-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 RAEFORD RD",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043053",
            "telephone_number": "910-860-5559",
            "fax_number": "910-860-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON & NELSON VI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-964-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson & Nelson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.