ERIC JOHN NELSON (NPI# 1609838705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609838705 |
| Entity Type | Individual |
| Full Name | ERIC JOHN NELSON |
| Credential | MD |
| Practice Address |
3970 Deputy Bill Cantrell Memorial Rd Suite 100 Cumming GA 30040 |
| Practice Telephone | 6785132273 |
| Practice Fax Number | 6785138869 |
| Mailing Telephone | 6785132273 |
| Mailing Fax Number | 6785138869 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
72993 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
230786 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544826 | Eric D Nelson | Anesthesiology | 19251 Brookhurst St, Spc 116, Huntington Beach, CA 92646-2923 | 2015-12-16 |
| 1538406749 | Eric David Nelson | Counselor | 2060 Centre Pointe Boulevard, Suite #3, Saint Paul, MN 55120-1271 | 2013-01-08 |
| 1083919534 | Eric T Nelson | Physical Therapist | 2000 Harding St, Clearwater, FL 33765-2507 | 2011-01-13 |
| 1194989632 | Eric Stephen Nelson | Physical Therapy Assistant | 1630 Worcester Rd Apt 412, Framingham, MA 01702-5453 | 2008-07-14 |
| 1245368331 | Eric Helland Nelson | Counselor | 3940 Cedar St, Eureka, CA 95503-7615 | 2007-03-01 |
| 1790845105 | Eric Allen Nelson | Chiropractor | 289 White Horse Pike Ste 201, Atco, NJ 08004-2257 | 2006-12-08 |
| 1528169505 | Eric J Nelson | Physical Therapist | 9174 N Placita San Angel, Tucson, AZ 85742-1122 | 2006-09-25 |
| 1538192422 | Eric G. Nelson | Dentist | 204 N Ahtanum Ave, Wapato, WA 98951-1126 | 2006-07-07 |
| 1912951765 | Eric Christian Nelson | Nurse Practitioner | 121 Oak Bay Rd, Port Hadlock, WA 98339 | 2006-05-19 |
| 1376593640 | Eric Webb Nelson | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2006-05-10 |
| Street Address |
3970 DEPUTY BILL CANTRELL MEMORIAL RD SUITE 100 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942281761 | Vikram Khetpal | Specialist | 3970 Deputy Bill Cantrell Memorial Rd, Suite 100, Cumming, GA 30040 | 2005-11-09 |
| 1386279362 | Kimberly Lauren Wiley | Nurse Practitioner | 3970 Deputy Bill Cantrell Memorial Rd, Suite 100, Cumming, GA 30040 | 2020-03-10 |
| 1982247433 | Laqueta Nelson | Family Medicine | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040 | 2019-10-28 |
| 1558838532 | Abigail M Cobb | Nurse Practitioner | 3970 Deputy Bill Cantrell Memorial Rd, Ste 100, Cumming, GA 30040-1943 | 2018-10-29 |
| 1396274072 | Travis Woodley | Nurse Practitioner | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040 | 2017-06-07 |
| 1477932754 | Alexis Catlett | Family Medicine | 3970 Deputy Bill Cantrell Memorial Rd, Suite 220, Cumming, GA 30040 | 2015-05-20 |
| 1518246222 | Morrow Family Medicine, LLC | Family Medicine | 3970 Deputy Bill Cantrell Memorial Rd, Suite 150, Cumming, GA 30040 | 2011-08-11 |
| 1891081576 | Carlos Calle-muller | Internal Medicine | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040 | 2011-06-22 |
| 1699066001 | Adam Buntaine | Internal Medicine | 3970 Deputy Bill Cantrell Memorial Rd, Suite 100, Cumming, GA 30040 | 2011-04-20 |
| 1134355183 | Scott R Beach | Internal Medicine | 3970 Deputy Bill Cantrell Memorial Rd, Ste 100, Cumming, GA 30040 | 2009-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861771701 | Hyo Jin Song | Internal Medicine | 1505 Northside Blvd Ste 3600, Cumming, GA 30041-8245 | 2011-08-09 |
| 1083912851 | Cardiology of South Forsyth, P.C. | Internal Medicine | 1615 Heathrow Dr, Cumming, GA 30041-6183 | 2011-03-03 |
| 1174641898 | North Atlanta Heart & Vascular Centre | Internal Medicine | 1400 Northside Forsyth Drive, Suite 380, Cumming, GA 30041-6018 | 2007-03-27 |
| 1144360413 | Veerappan Subramaniyam | Internal Medicine | 900 Sanders Rd Ste A, Cumming, GA 30041-5960 | 2007-02-07 |
| 1881604767 | Michael Lee Waller | Internal Medicine | 950 Sanders Rd, Cumming, GA 30041-5960 | 2006-08-09 |
| 1649206905 | Kathleen Ann Halvey | Internal Medicine | 1400 Northside Forsyth Dr Ste 170, Cumming, GA 30041-7668 | 2006-06-25 |
| 1497794135 | Jeremy S Khan | Internal Medicine | 759 Peachtree Pkwy, Suite 3, Cumming, GA 30041-9350 | 2006-06-06 |
| 1760477202 | Narendra Singh | Internal Medicine | 1505 Northside Boulevard, Suite 2500, Cumming, GA 30041 | 2005-09-12 |
| 1578562187 | William Manchester Hudson | Internal Medicine | 110 Samaritan Dr, Ste 101, Cumming, GA 30040-2535 | 2005-07-15 |
| 1750700332 | Landai Nguyen | Internal Medicine | 900 Sanders Rd Ste A, Cumming, GA 30041-5960 | 2014-04-10 |
| Find all providers in CUMMING | ||||
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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.