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DR. JAMES A NELSON JR. M.D.
NPI 1487099859
Pediatrics - Pediatric Cardiology in Atlanta, GA

Active since April 30, 2013PECOS Enrolled
2174 NORTH DRUID HILLS RD NE, STE 630, ATLANTA, GA 30322(404) 256-2593(770) 488-9408 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Jan 25, 2021, Jul 29, 2019 (3 updates tracked since 2019).

About Dr. James A Nelson Jr. M.d. NPPES

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

DR. JAMES A NELSON JR. M.D. (NPI 1487099859) is an individual pediatric cardiology provider in Atlanta, Georgia, licensed in Georgia (83622) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2013).

NPPES Registry Identity

NPI1487099859
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JAMES A NELSON JR.Credential: M.D.
Location Address2174 NORTH DRUID HILLS RD NE, STE 630Atlanta, GA 30322-4699
Mailing Address2970 Brandywine Rd Ste 125Atlanta, GA 30341-5521 · (404) 256-2593 · Fax (770) 488-9408
Phone(404) 256-2593
Fax(770) 488-9408
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2013
Enumeration DateApril 30, 2013
Last NPPES UpdateApril 30, 20263 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1487099859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in GA · 83622
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
2174 NORTH DRUID HILLS RD NE, Atlanta, GA 30322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James A Nelson Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688960024
PECOS Enrollment IDI20190906000891
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.

Medicare Billing Reassignment

Medicare enrollment records show James Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Healthcare Of Atlanta Cardiology Inc
4.6 mi
Pediatric Cardiology
2970 BRANDYWINE RD STE 125
Atlanta, GA 30341
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Children's Healthcare Of Atlanta Cardiology Inc
  • 66 clinicians in this Medicare group
NPI 1235148727 (404) 256-2593

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

MR. FRED HENRY RODRIGUEZ III MD
Pediatrics (Pediatric Cardiology)
2174 NORTH DRUID HILLS RD NE, STE 630
ATLANTA, GA 30322
Dekalb County (404) 256-2593
DR. STEPHANIE BURNS WECHSLER MD
Pediatrics (Pediatric Cardiology)
2174 NORTH DRUID HILLS RD NE, STE 630
ATLANTA, GA 30322
Dekalb County (404) 256-2593

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 James Nelson's NPI number?

The NPI number for James Nelson is 1487099859. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is James Nelson located?

James Nelson practices at 2174 North Druid Hills Rd NE Ste 630, Atlanta, GA 30322. The listed phone number is (404) 256-2593.

What is James Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is James Nelson enrolled in Medicare?

Yes. James Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Nelson reassigns Medicare benefits to Childrens Healthcare Of Atlanta Cardiology Inc (Atlanta, GA). The 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 James Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Nelson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list James 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.

When was this NPI record last updated?

The NPPES record for James Nelson was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.