DR. GEORGE AUGUSTUS NELSON III (NPI# 1053393694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053393694 |
| Entity Type | Individual |
| Full Name | DR. GEORGE AUGUSTUS NELSON III |
| Credential | D.M.D. |
| Practice Address |
4643 Camp Coleman Rd Suite 101 Trussville AL 35173-2821 |
| Practice Telephone | 2056550603 |
| Practice Fax Number | 2056550693 |
| Mailing Telephone | 2056550603 |
| Mailing Fax Number | 2056550693 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3186 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | UNITED CONCORDIA PROV # | 152289 | 01 |
| AL | BCBS OF AL PROV. NUMBER | 510-94984 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164905782 | George Leonard Nelson | Family Medicine | 75582 Camino De Plata N, Indian Wells, CA 92210-8519 | 2018-09-10 |
| 1407186166 | George Michale Nelson | Psychologist | 110 Prefontaine Pl S, Seattle, WA 98104-2677 | 2009-12-31 |
| 1205829421 | George Richard Nelson | Optometrist | 611 Sw Broadway, Portland, OR 97205-3402 | 2005-08-23 |
| 1760474225 | George Ira Nelson Jr. | Nurse Anesthetist, Certified Registered | 133 Angelina Ln, Leesville, LA 71446-2570 | 2005-08-19 |
| 1790392926 | George R Nelson | Physical Therapist | 16216 Baxter Rd Ste 330, Chesterfield, MO 63017-4778 | 2020-10-01 |
| 1952919185 | George Amadeus Nelson | Physical Therapist | 651 E 25th St, Hialeah, FL 33013-3814 | 2020-07-14 |
| 1780096164 | George A Nelson | Counselor | 931 Highway 80 W, Jackson, MS 39204-3912 | 2014-05-20 |
| 1447533203 | George Rusty Nelson | Physical Therapist | 200 Maplewood Ave, Ronceverte, WV 24970-1361 | 2011-09-27 |
| 1790075950 | George Augustus Nelson Iv | Internal Medicine | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2011-04-08 |
| 1215235049 | George Nelson IIi | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-03-02 |
| Street Address |
4643 CAMP COLEMAN RD SUITE 101 |
| City | TRUSSVILLE |
| State | AL |
| Zip Code | 35173-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964488 | Margaret Toups Dentistry PC | Clinic/Center | 4643 Camp Coleman Rd, Trussville, AL 35173-2821 | 2019-04-19 |
| 1366783151 | Trussville Orthodontics LLC | Dentist | 4643 Camp Coleman Rd, Trussville, AL 35173-2821 | 2013-03-05 |
| 1922360767 | Mary Jane Nelson | Pediatrics | 4643 Camp Coleman Rd, Suite 101, Trussville, AL 35173-2821 | 2012-06-07 |
| 1063741999 | Premier Urgent and Family Care | Clinic/Center | 4643 Camp Coleman Rd, Suite 117, Trussville, AL 35173 | 2009-12-24 |
| 1619175346 | Fisher Chiropractic Wellness Center | Chiropractor | 4643 Camp Coleman Rd, Suite 121, Trussville, AL 35173-2821 | 2007-07-03 |
| 1841230547 | Robert S Gilbert | Family Medicine | 4643 Camp Coleman Rd, Suite 117, Trussville, AL 35173-2821 | 2006-06-08 |
| 1902855703 | Lameka Reshuan Tolliver-fisher | Chiropractor | 4643 Camp Coleman Rd, Suite 121, Trussville, AL 35173-2821 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982189262 | Walden Brook Schlundt-capps | Nurse Practitioner | 4913 Dearfoot Parkway, Trussville, AL 35173 | 2018-10-02 |
| 1770064321 | Joyce Yerman Coyle | Pharmacist | 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 | 2018-08-22 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1770028821 | Angelle Sieg Taylor | Counselor | 3504 Vann Road Suite 100, Trussville, AL 35173 | 2016-12-28 |
| 1467722694 | Laura Sherrill Barksdale | Nurse Anesthetist, Certified Registered | 300 Bradford Cir, Trussville, AL 35173 | 2012-01-04 |
| 1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
| 1740503234 | Lauren C Sineath | Nutritionist | 5257 Stockton Pass, Trussville, AL 35173 | 2010-03-11 |
| 1386861128 | Michael Lawrence Ryan | Specialist/Technologist | 2053 Enclave Drive, Trussville, AL 35173 | 2007-04-20 |
| 1346372794 | Brett Stanley Bruce | Dentist | 6995 Gadsden Hwy, Trussville, AL 35173 | 2007-03-12 |
| 1528100682 | Michael J Sabatini | Pharmacist | 6404 Whitetail Lane, Birmingham, AL 35173 | 2007-02-13 |
| Find all providers in zip 35173 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381619 | Christy Jebeles | Dentist | 125 North Chalkville Road, Trussville, AL 35173-1376 | 2006-11-13 |
| 1366783151 | Trussville Orthodontics LLC | Dentist | 4643 Camp Coleman Rd, Trussville, AL 35173-2821 | 2013-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573825 | William Bates | Dentist | 2826 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-06-22 |
| 1376173484 | Shadi Alkhoury | Dentist | 2011 Vestavia Park Ln Apt A, Vestavia, AL 35216-3715 | 2020-01-17 |
| 1942855176 | Pda Orthodontics, LLC | Dentist | 5336 Stadium Trace Pkwy Ste 112, Hoover, AL 35244-4581 | 2019-08-05 |
| 1871145219 | Orthodontics South, PC | Dentist | 2705 Pelham Pkwy Ste 200, Pelham, AL 35124-1704 | 2019-07-16 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1679039341 | Brenna Iona Christensen | Dentist | 17 Demouy Ave, Mobile, AL 36606-1458 | 2019-02-18 |
| 1831668565 | Stephen T. Hicks and M. Bancroft Mcmurphy IIi Dds PC | Dentist | 1575 S University Blvd, Mobile, AL 36609-2958 | 2018-11-26 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1700361003 | Brian R. Oliver Dmd, LLC | Dentist | 5901 Grelot Rd Bldg E, Mobile, AL 36609-3603 | 2018-10-02 |
| 1205319605 | Pad Ortho LLC | Dentist | 1015 Brocks Gap Pkwy, Hoover, AL 35244-4032 | 2018-09-11 |
| Find all providers with the same taxonomy | ||||
| City | TRUSSVILLE |
| Zip Code | 35173 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.