EDMOND COLLIN NELSON JR. (NPI# 1912285446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912285446 |
| Entity Type | Individual |
| Full Name | EDMOND COLLIN NELSON JR. |
| Credential | MD |
| Practice Address |
1150 S Green St Ste 1a North Mississippi Medical Cencer Tupelo MS 38804-4902 |
| Mailing Address |
1150 South Green Street Suite 1-a Belden MS 38801 |
| Practice Telephone | 6623775009 |
| Practice Fax Number | 6623775071 |
| Mailing Telephone | 6623775009 |
| Mailing Fax Number | 6623775071 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 23146 | MS | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD.32419 | AL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 79603 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1150 S GREEN ST STE 1A NORTH MISSISSIPPI MEDICAL CENCER |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282788 | Select Speciatly Hospital - Gulf Coast, Inc. | Hospitalist | 1520 Broad Avenue, Guflport, MS 39500 | 2016-09-01 |
| 1235329038 | River Oaks Management Company, LLC | Hospitalist | 1850 Chadwick Drive, Jackson, MS 39204-3404 | 2007-07-27 |
| 1568652352 | Crossgates Hma Medical Group, LLC | Hospitalist | 350 Crossgates Boulevard, Brandon, MS 39042-2601 | 2007-07-27 |
| 1407946122 | River Oaks Management Co. Inc. | Hospitalist | 2500 Flowood Drive, Suite 402, Flowood, MS 39232-1196 | 2006-10-13 |
| 1386684199 | Natchez Hma Physician Management LLC | Hospitalist | 150 Jefferson Davis Blvd, Suite 140, Natchez, MS 39120-5107 | 2006-06-08 |
| 1821638578 | Relias Hospitalist Medicine Specialists of West Point LLC | Hospitalist | 150 Medical Center Dr, West Point, MS 39773-0428 | 2020-01-10 |
| 1205470796 | Relias Hospitalist Medicine Specialists of Amory LLC | Hospitalist | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2019-10-29 |
| 1669028130 | Leake Emergency Group, LLC | Hospitalist | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2019-08-12 |
| 1205499639 | Dobbs Emergency Group, LLC | Hospitalist | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2019-04-22 |
| 1528560281 | Venture Hospitalist, LLC | Hospitalist | 301 8th Ave Sw, Magee, MS 39111-3967 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EDMOND COLLIN NELSON JR..
| 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.