JEREMY SEBASTIAN NELSON (NPI# 1447410600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447410600 |
| Entity Type | Individual |
| Full Name | JEREMY SEBASTIAN NELSON |
| Credential | MD |
| Practice Address |
2221 Bonniewood Dr Marietta GA 30064-3820 |
| Practice Telephone | 4782841020 |
| Mailing Telephone | 4782841020 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 072048 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225688260 | Jeremy Allyn Nelson | Physician Assistant | 19920 Angus Ct, Saratoga, CA 95070-4406 | 2019-09-11 |
| 1013285626 | Jeremy John Nelson | Chiropractor | 104 Park Ave N, Suite 101, Park Rapids, MN 56470-1598 | 2011-12-09 |
| 1841436656 | Jeremy David Nelson | Physical Therapist | 13330 Via Bellarado, Unit 1, San Diego, CA 92129-5158 | 2008-12-29 |
| 1598932675 | Jeremy Louis Nelson I | Physical Therapy Assistant | 715 South Webster Ave, Green Bay, WI 54301 | 2008-05-08 |
| 1124103171 | Jeremy J Nelson | Physical Therapist | 3080 Wing St, San Diego, CA 92110-4745 | 2006-10-26 |
| 1457843021 | Jeremy Nelson | Dentist | 321 Chillicothe Ave, Hillsboro, OH 45133-7378 | 2018-05-30 |
| 1932643830 | Jeremy Nelson | Counselor | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2016-12-12 |
| 1790087104 | Jeremy Nelson | Counselor | 111 E 12th St, Ada, OK 74820-6501 | 2010-11-18 |
| 1144557679 | Jeremy Loren Nelson | Nurse Practitioner | 201 Seton Parkway, Seton Medical Center Williamson, Round Rock, TX 78665 | 2009-11-04 |
| 1487884300 | Jeremy Lewis Nelson | Physician Assistant | 201 S Clinton St, Suite 195, Iowa City, IA 52240-4034 | 2009-07-27 |
| Street Address |
2221 BONNIEWOOD DR |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1679877286 | Lawrence James Dawson | Emergency Medicine | 3761 Lassiter Rd, Marietta, GA 30062-4121 | 2010-12-23 |
| 1427233501 | Virginia Garrett Galvin | Emergency Medicine | 3772 Baccurate Way, Marietta, GA 30062-8708 | 2008-01-08 |
| 1184841082 | John Charles Meholic | Emergency Medicine | 4175 S Arbor Cir, Marietta, GA 30066-2278 | 2007-04-20 |
| 1982740643 | Albert G Lintel IIi | Emergency Medicine | 3747 Roswell Rd Ste 107, Marietta, GA 30062 | 2007-01-29 |
| 1134133747 | Gayle Galan | Emergency Medicine | 1106 Colegate Dr Emergency Dept, Marietta, OH 45750-1323 | 2006-07-28 |
| 1134143910 | Thomas L Haltom | Emergency Medicine | 1401 Johnson Ferry Rd, Suite 390, Marietta, GA 30062-6495 | 2006-07-26 |
| 1508894767 | Marlon Fisher | Emergency Medicine | 2913 Kings Walk Ave, Marietta, GA 30062-4503 | 2006-06-28 |
| 1720026610 | Khary O Harmon | Emergency Medicine | 2905 Arabian Pl Ne, Marietta, GA 30062-4631 | 2006-06-03 |
| Find all providers in MARIETTA | ||||
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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.