Larry W. Nelson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7166 Issued in SC

Practice address

160 Medical Circle
First Floor
West Columbia, SC 29169-3656

Phone

(803) 796-6811

Fax

(803) 796-6851

NPI assigned

Oct 2, 2006

Last updated

Oct 22, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1932292430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MEDICAL CIRCLE",
            "address_2": "FIRST FLOOR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693656",
            "telephone_number": "803-796-6811",
            "fax_number": "803-796-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MEDICAL CIRCLE",
            "address_2": "FIRST FLOOR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693656",
            "telephone_number": "803-796-6811",
            "fax_number": "803-796-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LARRY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "7166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071665",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark W Nebiker, DC
• Beverly D Nedbalek
• Brenda Needle
• W Ruth Neese, RN
• Linda M Neis, CRNA
• Nephron Pharmacy LLC (Nephron Pharmacy)
• Nephron SC Inc (Nephron Pharmacy)
• Caleb Nerison, DO
• Jade Jovanna Nettles
• Ronnie W Neuberg, MD

• Psychiatry Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.