DR. ROBERT L. NELSON M.D.
NPI 1659422616
Family Medicine in Fort Valley, GA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
601 BLUEBIRD BLVD, FORT VALLEY, GA 31030(478) 825-8691(478) 825-4458 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Robert L. Nelson M.d. NPPES

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

DR. ROBERT L. NELSON M.D. (NPI 1659422616) is an individual family medicine provider in Fort Valley, Georgia, licensed in Georgia (22951) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent Peach, and is a graduate of Meharry Medical College School Of Medicine (1979).

NPPES Registry Identity

NPI1659422616
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT L. NELSONCredential: M.D.
Location Address601 BLUEBIRD BLVDFort Valley, GA 31030-5082
Mailing Address601 Bluebird BlvdFort Valley, GA 31030-5082 · (478) 825-8691 · Fax (478) 825-4458
Fax(478) 825-4458
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1979
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659422616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 22951
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.
601 BLUEBIRD BLVD, Fort Valley, GA 31030

Other Identifiers 2

Medicare UPIND42256GA
Medicaid00226014IGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert L. Nelson M.d. 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 ID9739078965
PECOS Enrollment IDI20050210000412
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 Robert Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
1960 247 CONNECTOR
Byron, GA 31008
  • Reassigned Medicare billing, Georgia enrollment
  • 62 clinicians in this Medicare group

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 2

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.
64 services62 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.
49 services48 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31030 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.

Other Providers at the Same Location NPPES 4

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

Family Medicine
601 BLUEBIRD BLVD
FORT VALLEY, GA 31030
Nurse Anesthetist, Certified Registered
601 BLUEBIRD BLVD
FORT VALLEY, GA 31030
Radiology (Diagnostic Radiology)
601 BLUEBIRD BLVD
FORT VALLEY, GA 31030
Emergency Medicine
601 BLUEBIRD BLVD
FORT VALLEY, GA 31030

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 Robert Nelson's NPI number?

The NPI number for Robert Nelson is 1659422616. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Robert Nelson located?

Robert Nelson practices at 601 Bluebird Blvd, Fort Valley, GA 31030. The listed phone number is (478) 825-8691.

What is Robert Nelson's specialty?

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

Is Robert Nelson enrolled in Medicare?

Yes. Robert 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.

Which organization bills Medicare for Robert Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Nelson reassigns Medicare benefits to Peach Emergency Group LLC (Byron, 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 Robert Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Nelson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Robert 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 Robert Nelson affiliated with any hospitals?

According to CMS data, Robert Nelson is affiliated with Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for Robert Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.