Hunter B Nelson MD PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

15688 Issued in MS

Legal business name

HUNTER B NELSON MD PC

Practice address

1970 Hospital Dr
Clarksdale, MS 38614-7202

Phone

(662) 621-5088

Fax

(662) 614-3299

NPI assigned

Dec 15, 2009

Last updated

Jul 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hunter B Nelson Jr., MDNPI 1134160039

Title

President

Phone

(251) 544-1926

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

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.

• Hunter B Nelson Jr., M.D.

  • Diagnostic Radiology Physician
  • Clarksdale, MS
  • NPI 1134160039
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1942539242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9218",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366910218",
            "telephone_number": "251-544-1926",
            "fax_number": "251-460-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202",
            "telephone_number": "662-621-5088",
            "fax_number": "662-614-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTER B NELSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-544-1926",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "15688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAID",
            "identifier": "000891228B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "15688",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICARE",
            "identifier": "30BDJTQ",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Housing Authority - Clarksdale
• Danielle D Housley, MS
• Tulessia Howard
• Vernon T. Hughes Jr., D.O.
• James Flowers Humber IV, OD
• Internal Medicine Clinic of Clarksdale
• Interventional Diabetes Center LLC 2
• Sherwanda L Jackson
• Christina Jacobs, LMSW
• Ghanapati Vinil Jambula, M.D

• Diagnostic Radiology Physician in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.