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DR. MAGALIE NELSON M.D.
NPI 1083720411
Otolaryngology in Albany, GA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
93.57/100
CMS Quality Rating
605 POINTE NORTH BLVD, ALBANY, GA 31721(229) 435-7161(229) 438-8588 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Magalie Nelson M.d. NPPES

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

DR. MAGALIE NELSON M.D. (NPI 1083720411) is an individual otolaryngology provider in Albany, Georgia, licensed in Georgia (067777) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1083720411
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MAGALIE NELSONCredential: M.D.
Location Address605 POINTE NORTH BLVDAlbany, GA 31721-1514
Mailing Address5025 Barrington DrAlbany, GA 31721-8991 · (229) 435-7161 · Fax (229) 438-8588
Phone(229) 435-7161
Fax(229) 438-8588
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 21, 2006
Last NPPES UpdateJune 24, 2014
✔ NPI 1083720411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 067777
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
605 POINTE NORTH BLVD, Albany, GA 31721
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN202I048005GA
Medicaid003126322DGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Magalie Nelson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305842428
PECOS Enrollment IDI20121029000316
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services63 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
61 services50 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
58 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.73
Promoting Interoperability89
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN R GRANT M.D.
Otolaryngology
605 POINTE NORTH BLVD
ALBANY, GA 31721
Dougherty County (229) 435-7161
DR. CHRISTOPHER J MANN M.D.
Otolaryngology
605 POINTE NORTH BLVD
ALBANY, GA 31721
Dougherty County (229) 435-7161
ALBANY EAR NOSE THROAT SINUS & ALLERGY LLC
Otolaryngology
605 POINTE NORTH BLVD
ALBANY, GA 31721
Dougherty County (229) 435-7161
MONICA A MENNITE AUD, CCC-A
Audiologist
605 POINTE NORTH BLVD
ALBANY, GA 31721
Dougherty County (229) 435-7161
LEIGHA SHEPARD NP
Nurse Practitioner
605 POINTE NORTH BLVD
ALBANY, GA 31721
Dougherty County (229) 435-7161
JULIE LAMBERT
Audiologist
605 POINTE NORTH BLVD
ALBANY, GA 31721
Dougherty County (229) 435-7161
DONNA R GRANT AU.D,CCC-A
Audiologist
605 POINTE NORTH BLVD
ALBANY, GA 31721
Dougherty County (229) 435-7161
MRS. STACEY M PARKER PA-C
Physician Assistant
605 POINTE NORTH BLVD
ALBANY, GA 31721
Dougherty County (229) 435-7161

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 Magalie Nelson's NPI number?

The NPI number for Magalie Nelson is 1083720411. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Magalie Nelson located?

Magalie Nelson practices at 605 Pointe North Blvd, Albany, GA 31721. The listed phone number is (229) 435-7161.

What is Magalie Nelson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Magalie Nelson enrolled in Medicare?

Yes. Magalie Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Magalie Nelson affiliated with any hospitals?

According to CMS data, Magalie Nelson is affiliated with Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Magalie Nelson was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.