James Nelson, M.D.
NPI 1518964873 · Family Medicine Physician · Albany, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Nelson, M.D. is a Family Medicine Physician provider in Albany, GA (NPI 1518964873).
Provider details
- NPI number
- 1518964873
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 83970 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
87 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 46 | $118 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 29 | $82 |
| Hemoglobin A1c Level83036 | 12 | $10 |
Typical Medicare-allowed amounts for these services range $10–$118 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 26 | 12 |
| Semaglutidebrand: Ozempic | 21 | — |
| Metformin Hcl | 19 | — |
| Gabapentin | 18 | — |
| Azithromycin | 17 | 16 |
| Levothyroxine Sodium | 17 | — |
| Amlodipine Besylate |
Practice location
Mailing address
Additional practice locations (1)
- 1110 Druid CirLake Wales, FL 33853-4307Phone: (863) 676-7914Fax: (863) 676-3007
Registry dates
- Enumerated
- 2005-07-01
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Frequently asked questions
- What is James Nelson's NPI number?
- James Nelson's National Provider Identifier (NPI) is 1518964873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Nelson's specialty?
- James Nelson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Nelson located?
- James Nelson's practice location on file with NPPES is 803 N Jefferson St, Albany, GA 31701-2373.
- What is James Nelson's phone number?
- The practice phone number listed in the NPPES registry for James Nelson is (229) 312-7800.
- Does James Nelson accept Medicare?
- James Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Nelson's NPI active?
- Yes — James Nelson's NPI (1518964873) is active in the NPPES registry as of the last update on 2021-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.