1. Home
  2. Directory
  3. Georgia
  4. Albany
  5. Family Medicine
  6. NPI Profile

JAMES A NELSON M.D.
NPI 1518964873
Family Medicine in Albany, GA

Active since July 01, 2005PECOS Enrolled
803 N JEFFERSON ST, ALBANY, GA 31701(229) 312-7800 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James A Nelson M.d. NPPES

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

JAMES A NELSON M.D. (NPI 1518964873) is an individual family medicine provider in Albany, Georgia, licensed in Georgia (83970) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518964873
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES A NELSONCredential: M.D.
Location Address803 N JEFFERSON STAlbany, GA 31701-2373
Mailing Address803 N Jefferson StAlbany, GA 31701-2373 · (229) 312-7800
Phone(229) 312-7800
Sole ProprietorYes
Enumeration DateJuly 1, 2005
Last NPPES UpdateFebruary 8, 2021
NPPES CertifiedFebruary 8, 2021
✔ NPI 1518964873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 83970✔ Licensed in FL · ME0046524
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.
803 N JEFFERSON ST, Albany, GA 31701
Open in Google Maps ↗

Other Identifiers 2

Medicaid052353400FL
Medicaid003224838DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 3

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.
46 services44 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.
29 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31701 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers18 claims549 services$6.64 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
2 suppliers25 claims4,780 services$0.04 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
3 suppliers12 claims806 services$0.11 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 3

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

DR. WILLIAM OLIN MALLOW MD
Emergency Medicine
803 N JEFFERSON ST
ALBANY, GA 31701
Dougherty County (229) 312-7800
DR. CHRISTOPHER LEIKER MD
Family Medicine
803 N JEFFERSON ST
ALBANY, GA 31701
Dougherty County (229) 312-7600
JAMES M FREEMAN MD
Preventive Medicine (Undersea and Hyperbaric Medicine)
803 N JEFFERSON ST, SUITE 5
ALBANY, GA 31701
Dougherty County (229) 312-7600

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 1518964873. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is James Nelson located?

James Nelson practices at 803 N Jefferson St, Albany, GA 31701. The listed phone number is (229) 312-7800.

What is James Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Nelson enrolled in Medicare?

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

What insurance does James Nelson accept?

Health plans from Alliant Health Plans, Inc. 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 February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.