MICHAEL C NELMS (NPI# 1639255458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639255458 |
| Entity Type | Individual |
| Full Name | MICHAEL C NELMS |
| Credential | CFNP |
| Practice Address |
104 Burney Dr Flowood MS 39232-6621 |
| Mailing Address |
Po Box 30594 Charlotte NC 28230-0594 |
| Practice Telephone | 6019878200 |
| Practice Fax Number | 6019878211 |
| Mailing Telephone | 6019878200 |
| Mailing Fax Number | 6019878211 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R875560 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
R875560 | MS | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | FNP LICENSE | R875560 | 01 |
| MS | 03825391 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235113580 | Michael J. Nelms | Physician Assistant | 4060 Fourth Ave, Suite 415, San Diego, CA 92103-2116 | 2005-11-30 |
| Street Address |
104 BURNEY DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104878669 | William Owen Mccraney | Orthopaedic Surgery | 104 Burney Dr, Flowood, MS 39232-6621 | 2006-05-16 |
| 1902377963 | Jeffrey Ray Duckworth | Nurse Practitioner | 104 Burney Dr, Flowood, MS 39232-6621 | 2018-12-16 |
| 1932676913 | Eric Tanner Long | Nurse Practitioner | 104 Burney Dr, Flowood, MS 39232-6621 | 2018-10-29 |
| 1588152920 | Specialty Surgical Center, LLC | Orthopaedic Surgery | 104 Burney Dr, Flowood, MS 39232 | 2018-05-01 |
| 1235671934 | Wendy Hamilton | Registered Nurse | 104 Burney Dr, Flowood, MS 39232-6621 | 2016-11-11 |
| 1396195848 | Klaye Clardy | Nurse Practitioner | 104 Burney Dr, Flowood, MS 39232-6621 | 2016-06-15 |
| 1417322439 | Jonathan Heath Thomas | Physical Therapist | 104 Burney Dr, Flowood, MS 39232-6621 | 2015-12-02 |
| 1124400411 | Rodney T Biggs | Registered Nurse | 104 Burney Dr, Flowood, MS 39232-6621 | 2015-06-23 |
| 1205174737 | Justin R. Goebel | Physician Assistant | 104 Burney Dr, Flowood, MS 39232-6621 | 2013-01-17 |
| 1609131838 | Hayley Barber Lohrisch | Physical Therapist | 104 Burney Dr, Flowood, MS 39232-6621 | 2012-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265924807 | Christina Perkins | Nurse Practitioner | 1006 Treetops Blvd Ste 101, Flowood, MS 39232-7645 | 2018-05-30 |
| 1457854408 | Leticia Fay Stribling | Nurse Practitioner | 2605 Courthouse Cir, Flowood, MS 39232-9521 | 2018-03-15 |
| 1316479124 | Christine Newman | Nurse Practitioner | 204 Woodgreen Cv, Flowood, MS 39232-7510 | 2017-03-30 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| 1326437740 | Jeremy David Hudson | Nurse Practitioner | 1710 Old Fannin Rd, Flowood, MS 39232-9004 | 2015-01-22 |
| 1144668146 | Kimberly Elizabeth Strong | Nurse Practitioner | 252 Katherine Dr, Ste A, Flowood, MS 39232-9024 | 2013-06-12 |
| 1538497334 | Melissa Harrell Mckissack | Nurse Practitioner | 4213 Lakeland Dr, Flowood, MS 39232-9212 | 2009-12-07 |
| 1205870706 | Cynthia Johnson Dean | Nurse Practitioner | 1080 River Oaks Dr Ste B103, Flowood, MS 39232-7602 | 2006-06-15 |
| 1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
| 1922615293 | Maria Katherine Townsend | Nurse Practitioner | 2506 Lakeland Dr Ste 300, Flowood, MS 39232-7640 | 2020-09-30 |
| Find all providers in FLOWOOD | ||||
Please comment or provide details below to improve the information on MICHAEL C NELMS.
| 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.