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

Q: 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.

Q: What is James Nelson's specialty?

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

Q: 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.

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: October 18, 2026.

On this page

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 and maintains a secondary practice location in Lake Wales.

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 ↗

Secondary Practice Location 1

Location 11110 Druid CirLake Wales, FL 33853-4307 · Phone (863) 676-7914 · Fax (863) 676-3007

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show James Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoebe Physiatry

0.2 mi

Physical Medicine & Rehabilitation

425 W 3RD AVE, 105
Albany, GA 31701

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Phoebe Physician Group Inc
1,118 clinicians in this Medicare group

NPI 1295055861 (229) 312-5080

Tanner Medical Group Inc

146 mi

Cardiovascular Disease

100 GREENWAY BLVD FL 2
Carrollton, GA 30117

Reassigned Medicare billing, Georgia enrollment
232 clinicians in this Medicare group

NPI 1396979787 (770) 838-8710

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 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 2

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

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.

Which organizations bill Medicare for James Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Nelson reassigns Medicare benefits to 2 organizations: Phoebe Physiatry (Albany, GA) and Tanner Medical Group Inc (Carrollton, GA). 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 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. 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.