Kevin M Nelson Oral Surgery
2500 N State St, Jackson, MS 39216-4500


Kevin M Nelson is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1699978932. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0143547786. The primary specialty is ORAL SURGERY. The organization is STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER. The address is 2500 N State St, Jackson, MS 39216-4500. The zip code is 39216.


Kevin M Nelson · 2500 N State St, Jackson, MS 39216-4500

Nation Provider ID 1699978932
PAC ID by PECOS 0143547786
Professional Enrollment ID I20150319002006
Last Name NELSON
First Name KEVIN
Middle Name M
Gender M
Medical School Name UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
Graduation Year 2001
Primary Specialty ORAL SURGERY
Primary Specialty STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Group Practice PAC ID 1850293036
Number of Group Practice Members 786
Address 2500 N STATE ST
JACKSON, MS 392164500
Claims Based Hospital Affiliation Claim Control Number (CCN): 250001
Legal Business Name: UNIVERSITY OF MISSISSIPPI MED CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y

route: North State Street (N State St)
street_number: 2500
neighborhood, political: Fondren
locality, political: Jackson
admin_level_2, political: Hinds County
admin_level_1, political: Mississippi (MS)
country, political: United States (US)
postal_code: 39216
types : establishment, parking, point_of_interest, premise
latitude: 32.327814
longitude: -90.1751061
latlng: (32.327814, -90.1751061)


State of Mississippi-university of Mississippi Medical Center · Medicare Physician

Name Address Specialty
Erin Dodd 2500 N State St, Jackson, MS 39216-4500 ANESTHESIOLOGY
Michael Steiner 960 Avent Dr, Grenada, MS 38901-5230 DIAGNOSTIC RADIOLOGY
Molly Clark 2500 N State St, Jackson, MS 39216-4500 CLINICAL PSYCHOLOGIST
Audwin Fletcher 2500 N State St, Jackson, MS 39216-4500 NURSE PRACTITIONER
Douglas Wolfe 2500 N State St, Jackson, MS 39216-4500 CARDIAC ELECTROPHYSIOLOGY
Cyrillo Araujo 965 Avent Dr, Grenada, MS 38901-5045 DIAGNOSTIC RADIOLOGY
Mindy Hughes 2500 N State St, Jackson, MS 39216-4500 NURSE PRACTITIONER
Marion Wofford 2500 N State St, Jackson, MS 39216-4500 INTERNAL MEDICINE
James Jordan 2500 N State St, Jackson, MS 39216-4500 OTOLARYNGOLOGY
Sarosh Batlivala 2500 N State St, Jackson, MS 39216-4500 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Kristen Burkes 2500 N State St, Jackson, MS 39216-4500 NURSE PRACTITIONER
Carolyn Cushing 2500 N State St, Jackson, MS 39216-4500 PLASTIC AND RECONSTRUCTIVE SURGERY
Linda Williamson 2500 N State St, Jackson, MS 39216-4500 CERTIFIED REGISTERED NURSE ANESTHETIST
Shweta Kishore 2500 N State St, Jackson, MS 39216-4500 RHEUMATOLOGY
Antnio Gamble 2500 N State St, Jackson, MS 39216-4500 CERTIFIED REGISTERED NURSE ANESTHETIST
Sabahat Afshan 2500 N State St, Jackson, MS 39216-4500 NEPHROLOGY
Natasha Powell 2500 N State St, Jackson, MS 39216-4500 NURSE PRACTITIONER
Virginia Harrison 2500 N State St, Jackson, MS 39216-4500 PEDIATRIC MEDICINE
Leila Lanning 2500 N State St, Jackson, MS 39216-4500 NURSE PRACTITIONER
James Cloy 2500 N State St, Jackson, MS 39216-4500 FAMILY PRACTICE

Zip 39216 · Oral Surgery · Medicare Physician

Name Address Specialty
Kyle Hunt 971 Lakeland Dr, Jackson, MS 39216-4609 ORAL SURGERY
Tina Woods 2500 N State St, Jackson, MS 39216-4500 ORAL SURGERY
George Taybos 2500 N State St, Jackson, MS 39216-4500 ORAL SURGERY
Lindsay Montague 2500 N State St, Jackson, MS 39216-4500 ORAL SURGERY
Frances Gordy 2500 N State St, Jackson, MS 39216-4500 ORAL SURGERY
Ravi Chandran 2500 N State St, Jackson, MS 39216-4500 ORAL SURGERY
Ron Caloss 2500 N State St, Jackson, MS 39216-4500 ORAL SURGERY

Zip 39216 · Medicare Physician

Name Address Specialty
Barbara Proctor 2500 N State St, Jackson, MS 39216-4500 PATHOLOGY
Tiffany Scarff 971 Lakeland Dr, Jackson, MS 39216-4607 NEUROLOGY
Funminiyi Taylor 2500 N State St, Jackson, MS 39216-4500 OBSTETRICS/GYNECOLOGY
John Faust 2500 N State St, Jackson, MS 39216-4500 DIAGNOSTIC RADIOLOGY
Carlton Daniel 971 Lakeland Dr, Jackson, MS 39216-4608 DERMATOLOGY
Shara Beckwith 971 Lakeland Dr, Jackson, MS 39216-4620 NURSE PRACTITIONER
Ricky Clay 2500 N State St, Jackson, MS 39216-4500 PLASTIC AND RECONSTRUCTIVE SURGERY
Tellis Ellis 971 Lakeland Dr, Jackson, MS 39216-4608 CARDIOVASCULAR DISEASE (CARDIOLOGY)
David May 971 Lakeland Dr, Jackson, MS 39216-4607 ANESTHESIOLOGY
Angela Mcallister 2500 N State St, Jackson, MS 39216-4500 NURSE PRACTITIONER
Angela Sterling 970 Lakeland Dr, Jackson, MS 39216-4634 NURSE PRACTITIONER
Benjamin Mcintyre 2500 N State St, Jackson, MS 39216-4500 PLASTIC AND RECONSTRUCTIVE SURGERY
Bo Huang 2500 N State St, Jackson, MS 39216-4500 OPHTHALMOLOGY
David Gilliam 2500 N State St, Jackson, MS 39216-4500 PEDIATRIC MEDICINE
William Meeks 2500 N State St, Jackson, MS 39216-4500 GERIATRIC MEDICINE
Kevin Lott 2500 N State St, Jackson, MS 39216-4500 CERTIFIED REGISTERED NURSE ANESTHETIST
Nancye Mccowan 2500 N State St, Jackson, MS 39216-4500 DERMATOLOGY
Robert Hamilton 2500 N State St, Jackson, MS 39216-4500 MEDICAL ONCOLOGY
Kathleen Young 2500 N State St, Jackson, MS 39216-4500 CLINICAL PSYCHOLOGIST
Susan Needham 2500 N State St, Jackson, MS 39216-4500 CERTIFIED REGISTERED NURSE ANESTHETIST