Individual provider Active NPI

Amanda E. Nelson, M.D.

  • Rheumatology Physician
  • Chapel Hill, NC
National Provider Identifier
1982816203
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2006-00622 Issued in NC
Practice address
3300 Thurston BLDG CB # 7280
Chapel Hill, NC 27599-7280
Phone
(919) 966-4191
Fax
(919) 843-7231
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2006-00622 NC Primary

Addresses

Primary practice location

3300 Thurston BLDG CB # 7280
Chapel Hill, NC 27599-7280

Mailing address

3300 Thurston BLDG CB # 7280
University of North Carolina School of Medicine
Chapel Hill, NC 27599-7280
Phone (919) 966-4191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080712000038 NC Practitioner - RheumatologyPractitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6204908965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Eastowne Dr
Chapel Hill, NC 27514-2286
Phone (984) 215-5556

101 Manning Dr
Chapel Hill, NC 27514-4220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-00622NCMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2008 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2008 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

6013 Farrington Rd
Chapel Hill, NC 27517
Phone (919) 363-9363

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

100 Eastowne Dr
Fl 14
Chapel Hill, NC 27514
Phone (984) 215-5556

Interoperability endpoints

  • Direct secure messaging: anelson30974@direct.unc.nchie.net

Organizations & group practices 3

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 1

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1982816203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 THURSTON BLDG CB # 7280",
            "address_2": "UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997280",
            "telephone_number": "919-966-4191",
            "fax_number": "919-843-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 THURSTON BLDG CB # 7280",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997280",
            "telephone_number": "919-966-4191",
            "fax_number": "919-843-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMANDA",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "2006-00622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.