ERIC JOHN NELSON MD
NPI 1609838705
Internal Medicine - Cardiovascular Disease in Cumming, GA

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
72.41/100
CMS Quality Rating
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100, CUMMING, GA 30040(678) 513-2273(678) 513-8869 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2021, Jun 13, 2016 (2 updates tracked since 2016).

About Eric John Nelson Md NPPES

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

ERIC JOHN NELSON MD (NPI 1609838705) is an individual cardiovascular disease provider in Cumming, Georgia, licensed in Georgia (72993) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Massachusetts Medical School (2001).

NPPES Registry Identity

NPI1609838705
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameERIC JOHN NELSONCredential: MD
Location Address3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100Cumming, GA 30040
Mailing Address3970 Deputy Bill Cantrell Memorial Rd, Suite 100Cumming, GA 30040 · (678) 513-2273 · Fax (678) 513-8869
Fax(678) 513-8869
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2001
Enumeration DateApril 4, 2006
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
NPI 1609838705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in GA · 72993 Licensed in MA · 230786
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3970 DEPUTY BILL CANTRELL MEMORIAL RD, Cumming, GA 30040

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

Eric John 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 ID9931204948
PECOS Enrollment IDI20150420001956
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 28

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.
744 services500 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
451 services388 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
236 services59 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
198 services99 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
196 services191 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
151 services151 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.1
Promoting Interoperability78
Improvement Activities40
Cost67.26

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Cardiovascular Disease)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, STE 100
CUMMING, GA 30040
Internal Medicine (Cardiovascular Disease)
3970 DEPUTY BILL CANTRELL MEMORIAL RD
CUMMING, GA 30040
Family Medicine
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 150
CUMMING, GA 30040
Nurse Practitioner (Family)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, STE 100
CUMMING, GA 30040
Nurse Practitioner (Acute Care)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 1000
CUMMING, GA 30040
Internal Medicine (Interventional Cardiology)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100
CUMMING, GA 30040
Internal Medicine (Cardiovascular Disease)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100
CUMMING, GA 30040
Internal Medicine (Interventional Cardiology)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100
CUMMING, GA 30040

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 Eric Nelson's NPI number?

The NPI number for Eric Nelson is 1609838705. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Eric Nelson located?

Eric Nelson practices at 3970 Deputy Bill Cantrell Memorial Rd Suite 100, Cumming, GA 30040. The listed phone number is (678) 513-2273.

What is Eric Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Eric Nelson enrolled in Medicare?

Yes. Eric 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.

Is Eric Nelson affiliated with any hospitals?

According to CMS data, Eric Nelson is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northside Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Eric Nelson was last updated on February 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.