Dr Michael E Nelson, MD - Medicare Pediatric Medicine in Athens, GA

Dr Michael E Nelson, MD is a medicare enrolled "Internal Medicine" physician in Athens, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Piedmont Athens Primary Care Llc and his current practice location is 1500 Oglethorpe Ave, Suite 2200, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 543-0471.

Dr Michael E Nelson is licensed to practice in Georgia (license number 054406) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821026295.

Contact Information

Dr Michael E Nelson, MD
1500 Oglethorpe Ave, Suite 2200,
Athens, GA 30606-2179
(706) 543-0471
(706) 543-6091

Map and Direction




Physician's Profile

Full NameDr Michael E Nelson
GenderMale
SpecialityPediatric Medicine
Experience24 Years
Location1500 Oglethorpe Ave, Athens, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael E Nelson attended and graduated from Medical College Of Georgia School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1821026295
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 06/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2668451444
  • Enrollment ID: I20040715000748

Medical Identifiers

Medical identifiers for Dr Michael E Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821026295NPI-NPPES
624289802BMedicaidGA
624289802AMedicaidGA
624289802CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 054406 (Georgia)Primary
208000000XPediatrics 054406 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Athens Regional Medical CenterAthens, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Athens Primary Care Llc064852084167

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael E Nelson allows following entities to bill medicare on his behalf.
Entity NamePiedmont Athens Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245746783
PECOS PAC ID: 0648520841
Enrollment ID: O20180910002202
Entity NamePiedmont Athens Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578079000
PECOS PAC ID: 6305196411
Enrollment ID: O20180911003967

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael E Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael E Nelson, MD
1500 Oglethorpe Ave, Suite 2200,
Athens, GA 30606-2179

Ph: (706) 543-0471
Dr Michael E Nelson, MD
1500 Oglethorpe Ave, Suite 2200,
Athens, GA 30606-2179

Ph: (706) 543-0471

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.