ROGER F. NELSON (NPI# 1356315337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356315337 |
| Entity Type | Individual |
| Full Name | ROGER F. NELSON |
| Credential | M.D. |
| Practice Address |
315 Fluker St Thomson GA 30824-2108 |
| Practice Telephone | 7065951090 |
| Practice Fax Number | 7065956010 |
| Mailing Telephone | 7065951090 |
| Mailing Fax Number | 7065956010 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 072308 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD | 930081378 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962778340 | Roger L. Nelson | Social Worker | 310 W 200 N, St George, UT 84770-2706 | 2012-03-29 |
| 1023207099 | Roger W. Nelson | Counselor | 15170 N Hayden Rd, Suite 4, Scottsdale, AZ 85260-2571 | 2007-10-16 |
| 1366429656 | Roger L Nelson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-28 |
| Street Address |
315 FLUKER ST |
| City | THOMSON |
| State | GA |
| Zip Code | 30824-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508859448 | Daryl Carson Wiley | Family Medicine | 315 Fluker St, Thomson, GA 30824-2108 | 2005-08-25 |
| 1134695075 | Family Care Group South, LLC | Family Medicine | 315 Fluker St, Thomson, GA 30824-2108 | 2018-10-18 |
| 1093156341 | Megan D Wiley | Nurse Practitioner | 315 Fluker St, Thomson, GA 30824-2108 | 2013-07-16 |
| 1669660783 | Family Care Group of Thomson, Inc | Family Medicine | 315 Fluker St, Thomson, GA 30824-2108 | 2007-10-15 |
| 1831318187 | Michael Scott Stamper | Nurse Practitioner | 315 Fluker St, Thomson, GA 30824-2108 | 2007-04-25 |
| 1932327996 | Michael David Mcdaniel | Physician Assistant | 315 Fluker St, Thomson, GA 30824-2108 | 2007-04-23 |
| 1043377005 | Augusta Ent PC | Specialist | 315 Fluker St, Thomson, GA 30824-2108 | 2007-01-02 |
| 1528075835 | James Christopher Sheppard | Internal Medicine | 315 Fluker St, Thomson, GA 30824-2108 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1750878039 | Amber Nichole Wood | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, 1st Floor, Staten Island, NY 30824 | 2018-04-22 |
| 1861854176 | Family Care Group of Thomson,inc | Family Medicine | 2508 University Dr, Thomson, GA 30824 | 2016-03-25 |
| 1174900674 | Carolyn Louise Samuels | Behavioral Analyst | 1139 Washington Rd, Thomson, GA 30824 | 2015-05-04 |
| 1013343953 | David Carroll Hughes | Dentist | 540 West Hill St., Thomson, GA 30824 | 2013-09-24 |
| 1295067270 | Wesley Alan Mccarthy | Counselor | 114 East Hall Street, Thompson, GA 30824 | 2010-02-02 |
| 1417280439 | Charles Edward Jones | Counselor | 114 East Hall St, Thomson, GA 30824 | 2009-09-09 |
| 1700055779 | Drs Jopling and Brunson | Dentist | 115 Gordon Street, Thomson, GA 30824 | 2008-02-25 |
| 1871630483 | Robert F. Polglase | Emergency Medicine | 521 Hill St, S.w., Thomson, GA 30824 | 2007-01-31 |
| 1861553141 | The Homeplace Adult Daycare, Inc. | Custodial Care Facility | 1324 Wrightsboro Road, Thomson, GA 30824 | 2006-12-12 |
| Find all providers in zip 30824 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861854176 | Family Care Group of Thomson,inc | Family Medicine | 2508 University Dr, Thomson, GA 30824 | 2016-03-25 |
| 1962797712 | Merritt Echols Mclaughlin | Family Medicine | 315 Fluker Street Family Medicine, Thomson, GA 30824-7024 | 2011-06-09 |
| 1508859448 | Daryl Carson Wiley | Family Medicine | 315 Fluker St, Thomson, GA 30824-2108 | 2005-08-25 |
| 1285634212 | Kelli M Carter | Family Medicine | 1113 Washington Rd, Thomson, GA 30824-7523 | 2005-08-01 |
| 1952308926 | James L Lemley | Family Medicine | 505 Mount Pleasant Rd, Thomson, GA 30824-8140 | 2005-07-05 |
| 1134695075 | Family Care Group South, LLC | Family Medicine | 315 Fluker St, Thomson, GA 30824-2108 | 2018-10-18 |
| 1437564960 | Holly Barmore Mahoney | Family Medicine | 505 Mount Pleasant Rd, Thomson, GA 30824-8140 | 2014-06-23 |
| 1144402652 | Kelli M Carter Md LLC | Family Medicine | 1113 Washington Rd, Thomson, GA 30824-7523 | 2007-11-27 |
| 1669660783 | Family Care Group of Thomson, Inc | Family Medicine | 315 Fluker St, Thomson, GA 30824-2108 | 2007-10-15 |
| 1215935903 | Susan H Land | Family Medicine | 505 Mount Pleasant Rd, Thomson, GA 30824-8140 | 2005-07-07 |
| Find all providers in THOMSON | ||||
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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.