Individual provider Active NPI

John Shelton Nelson, MD

  • Surgery Physician
  • Memphis, TN
National Provider Identifier
1982877973
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
49685 Issued in TN
Practice address
1251 Wesley Dr Ste 151
Memphis, TN 38116-6443
Phone
(901) 758-7888
Fax
(901) 266-6425
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 49685 TN Primary

Addresses

Primary practice location

1251 Wesley Dr Ste 151
Memphis, TN 38116-6443

Mailing address

P O Box 1000 Dept 457
Memphis, TN 38148-0001
Phone (901) 758-7888

Other identifiers 1

IdentifierTypeStateIssuer
Q001088MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130909000361 TN Practitioner - General Surgery 9830332014 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49685TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems Current Accepting new patients
Ut Methodist Physicians LLC Surgery CurrentSince Apr 19, 2018 Accepting new patients

Locations

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

1251 Wesley Dr
Ste 151
Memphis, TN 38116
Phone (901) 614-3116

Interoperability endpoints

  • Direct secure messaging: jnelson@yourcarecommunity.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1982877973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1000 DEPT 457",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-758-7888",
            "fax_number": "901-266-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 WESLEY DR STE 151",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166443",
            "telephone_number": "901-758-7888",
            "fax_number": "901-266-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "SHELTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "49685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001088",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.