JOHN CLAYTON NELSON MD
NPI 1366470056
Family Medicine in Petal, MS
About John Clayton Nelson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN CLAYTON NELSON MD (NPI 1366470056) is an individual family medicine provider in Petal, Mississippi, licensed in Mississippi (08024) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Union County, and maintains a secondary practice location in Hattiesburg.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Clayton Nelson Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show John Nelson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Taylorsville, MS 39168
- Reassigned Medicare billing, Mississippi enrollment
- 87 clinicians in this Medicare group
Bay St Louis, MS 39520
- Reassigned Medicare billing, Mississippi enrollment
- 87 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 187 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Mississippi enrollment
- 171 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Memorial Hospital Union County
Acute Care Hospitals · New Albany, MSMagee General Hospital
Acute Care Hospitals · Magee, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39465 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 John Nelson's NPI number?
The NPI number for John Nelson is 1366470056. It was assigned to this individual provider in the NPPES registry on June 29, 2006.
Where is John Nelson located?
John Nelson practices at 1146 Evelyn Gandy Pkwy, Petal, MS 39465. The listed phone number is (601) 584-4309.
What is John Nelson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Nelson enrolled in Medicare?
Yes. John 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.
Which organizations bill Medicare for John Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Nelson reassigns Medicare benefits to 4 organizations: Magee Benevolent Association (Taylorsville, MS), Hancock Emergency Group LLC (Bay St Louis, MS), App Of Mississippi Ed, LLC (Jackson, MS) and Southeastern Emergency Physicians LLC (Maysville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Nelson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list John Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Nelson affiliated with any hospitals?
According to CMS data, John Nelson is affiliated with Baptist Memorial Hospital Union County and Magee General Hospital.
When was this NPI record last updated?
The NPPES record for John Nelson was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# John Clayton Nelson, MD · NPI 1366470056
Family Medicine physician in Petal, Mississippi. Individual provider, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1366470056 (Entity type: Individual)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 08024 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1146 EVELYN GANDY PKWY, Petal, MS 39465-3947
- **Phone:** (601) 584-4309
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Magee Benevolent Association (NPI 1871888271, Taylorsville, MS); Hancock Emergency Group LLC (NPI 1295142396, Bay St Louis, MS); App Of Mississippi Ed, LLC (NPI 1730687740, Jackson, MS); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 1977
## Record status
- **NPPES last updated:** July 27, 2022
- **Other identifiers:** Medicaid 00019517 (MS)
---
Source: [NPI Profile](https://npiprofile.com/npi/1366470056) · Data from the CMS NPPES public registry.