Nelms Family & Preventive Medicine, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2000001081876 Issued in NC

Legal business name

NELMS FAMILY & PREVENTIVE MEDICINE, P.A.

Doing business as

Family Medicine

Practice address

2546 Ward Blvd
Wilson, NC 27893

Phone

(252) 399-0707

Fax

(252) 291-7079

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wallace R Nelms Jr., MDNPI 1710081161

Title

President

Phone

(252) 399-0707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wallace R Nelms Jr., MD

  • Family Medicine Physician
  • Wilson, NC
  • NPI 1710081161
  Medicare reassignment NPD Authorized official
• Shalaila Ann Salazar, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Greenville, NC
  • NPI 1689269623
  Medicare reassignment NPD
• Stephanie D Roberts, M.D.

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1366546715
  NPD (past)
• Carroll Bracey Robertson III, MD

  • Family Medicine Physician
  • Elizabeth City, NC
  • NPI 1134154511
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1912078353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-399-0707",
            "fax_number": "252-291-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-399-0707",
            "fax_number": "252-291-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELMS FAMILY & PREVENTIVE MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-399-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2000001081876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "01471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nash Street Healthcare
• Natalie a. Doyle, M. D., P. a.
• Natalie a. Doyle, MD
• Creig Jermane Neal
• Douglas Russell Neal, OTR
• Wallace R Nelms Jr., MD
• Emily Nelson, ST
• April Ferrell Nesbit, RD, LDN
• New Hope Behavioral Services Inc
• New Phoenix LLC.

• Family Medicine Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.