IndividualActive
James Nelson, ATC
NPI 1619251113 · Athletic Trainer · Raleigh, NC
Provider details
- NPI number
- 1619251113
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1962 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
11240 Centway Park Dr
Apt 102
Raleigh, NC 27617-8477
Phone: (704) 564-5536
Street-level locationGet directions
Mailing address
11240 Centway Park Dr
Raleigh, NC 27617-8477
Registry dates
- Enumerated
- 2011-10-03
- Last updated
- 2015-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.