JOHN CLAYTON NELSON MD
NPI 1366470056
Family Medicine in Petal, MS

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
1146 EVELYN GANDY PKWY, PETAL, MS 39465(601) 584-4309 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2022, Jul 21, 2022, Jul 6, 2020 (3 updates tracked since 2020).

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

NPI1366470056
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN CLAYTON NELSONCredential: MD
Location Address1146 EVELYN GANDY PKWYPetal, MS 39465-3947
Mailing Address1146 Evelyn Gandy PkwyPetal, MS 39465-3947 · (601) 584-4309
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1977
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 27, 20223 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1366470056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 08024
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 08024 (MS)
1146 EVELYN GANDY PKWY, Petal, MS 39465

Secondary Practice Location 1

Location 16051 Highway 49Hattiesburg, MS 39401-7200 · Phone (601) 288-7000

Other Identifiers 1

Medicaid00019517MS

Accepted Insurance

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

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.

PECOS PAC ID9931206620
PECOS Enrollment IDI20100719000704
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
254 services236 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
122 services117 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
75 services72 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services43 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

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, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250006
Location200 Hwy 30 WestNew Albany, MS 38652 · Union County
Emergency services Birthing friendly

Magee General Hospital

Acute Care Hospitals · Magee, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250124
Location300 3rd Ave SEMagee, MS 39111 · Simpson County
Emergency services

Physician 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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims34 services$5.53 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$8.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
1146 EVELYN GANDY PKWY
PETAL, MS 39465
Family Medicine
1146 EVELYN GANDY PKWY
PETAL, MS 39465
Nurse Practitioner
1146 EVELYN GANDY PKWY
PETAL, MS 39465
Nurse Practitioner (Family)
1146 EVELYN GANDY PKWY
PETAL, MS 39465
Family Medicine
1146 EVELYN GANDY PKWY
PETAL, MS 39465
Family Medicine
1146 EVELYN GANDY PKWY
PETAL, MS 39465
Nurse Practitioner (Family)
1146 EVELYN GANDY PKWY
PETAL, MS 39465

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.

What insurance does John Nelson accept?

Health plans from Blue Cross and Blue Shield of Alabama 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.