Individual provider Active NPI

Christopher Grant Nelson Jr., M.D.

  • Dermatopathology Physician
  • St Petersburg, FL
National Provider Identifier
1982653317
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
ME9131 Issued in FL
Practice address
350 6TH St S
St Petersburg, FL 33701-4449
Phone
(727) 895-8131
Fax
(727) 821-1292
NPI assigned
May 10, 2006
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X ME9131 FL Primary

Addresses

Primary practice location

350 6TH St S
St Petersburg, FL 33701-4449

Mailing address

350 6TH St S
St Petersburg, FL 33701-4449
Phone (727) 895-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060727000416 FL Practitioner - DermatologyPractitioner - Pathology 9234142852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
University of Missouri, Kansas City, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher G Nelson MD PAGroup PAC ID 7416960034, 4 clinicians

Practice addresses (Care Compare)

350 6TH St S
St Petersburg, FL 33701-4449
Phone 72789581311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions4498
Removal or shaving of skin growth452
Skin biopsy1304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME9131FLMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher G. Nelson, M.D., P.a. Dermatopathology CurrentSince Apr 28, 2006 Accepting new patients

Locations

1615 Pasadena Ave S
Ste 100
South Pasadena, FL 33707
Phone (727) 345-8303

350 6th St S
St Petersburg, FL 33701
Phone (727) 895-8131

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1982653317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014449",
            "telephone_number": "727-895-8131",
            "fax_number": "727-821-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014449",
            "telephone_number": "727-895-8131",
            "fax_number": "727-821-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME9131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.