Individual provider Active NPI

John William Nelson, MD

  • Radiation Oncology Physician
  • Raleigh, NC
National Provider Identifier
1891964615
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
200400068 Issued in NC
Practice address
5524 Hawthorne Park
Raleigh, NC 27613-6006
Phone
(919) 870-0057
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 200400068 NC Primary

Addresses

Primary practice location

5524 Hawthorne Park
Raleigh, NC 27613-6006

Mailing address

5524 Hawthorne Park
Raleigh, NC 27613-6006
Phone (919) 621-3645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080612000389 NC Practitioner - Radiation Oncology 8729159140 Reassigns benefits to 2 organizations
I20150903000351 VA Practitioner - Radiation Oncology 8729159140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200400068NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Physician Practices LLC CurrentSince Jul 1, 2015 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jul 1, 2022 Accepting new patients
Danville Physician Practices LLC Pediatrics CurrentSince Jul 1, 2015 Accepting new patients

Locations

300 Ashville Ave
Ste 110
Cary, NC 27518
Phone (919) 781-7070

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

188 S Main St
Danville, VA 24541
Phone (434) 799-4592

Interoperability endpoints

  • Direct secure messaging: jnelson251778@direct.medicine.duke.edu
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1891964615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 HAWTHORNE PARK",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136006",
            "telephone_number": "919-621-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 HAWTHORNE PARK",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136006",
            "telephone_number": "919-870-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "200400068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.