DR. PHIL OTIS NELSON JR. M.D.
NPI 1063890754
Radiology - Diagnostic Radiology in Jackson, MS

Active since May 13, 2015
146 RIDGE DR, JACKSON, MS 39216(601) 982-5793(601) 984-3631 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Phil Otis Nelson Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHIL OTIS NELSON JR. M.D. (NPI 1063890754) is an individual diagnostic radiology provider in Jackson, Mississippi, licensed in Mississippi (04082) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1063890754
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PHIL OTIS NELSON JR.Credential: M.D.
Location Address146 RIDGE DRJackson, MS 39216-4109
Mailing Address146 Ridge DrJackson, MS 39216-4109 · (601) 982-5793 · Fax (601) 984-3631
Fax(601) 984-3631
Sole ProprietorYes
Enumeration DateMay 13, 2015
NPI 1063890754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MS · 04082
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

146 RIDGE DR, Jackson, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phil Nelson's NPI number?

The NPI number for Phil Nelson is 1063890754. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Phil Nelson located?

Phil Nelson practices at 146 Ridge Dr, Jackson, MS 39216. The listed phone number is (601) 982-5793.

What is Phil Nelson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Phil Nelson was last updated on May 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.