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
Brook Mccrory 2500 N State St, Jackson, MS 39216-4500 NURSE PRACTITIONER
Vettaikorunakan Vedanarayanan 2500 N State St, Jackson, MS 39216-4500 NEUROLOGY
Natesan Manimekalai 2500 N State St, Jackson, MS 39216-4500 ANESTHESIOLOGY
Elizabeth Chastain 2500 N State St, Jackson, MS 39216-4500 PATHOLOGY
Lonnie Frei 2500 N State St, Jackson, MS 39216-4500 GENERAL SURGERY
Kasey Davis 2500 N State St, Jackson, MS 39216-4500 CRITICAL CARE (INTENSIVISTS)
Janice Pierce 2500 N State St, Jackson, MS 39216-4500 NURSE PRACTITIONER
Katherine Ragland 965 Avent Dr, Grenada, MS 38901-5045 DIAGNOSTIC RADIOLOGY
Nils Mungan 2500 N State St, Jackson, MS 39216-4500 OPHTHALMOLOGY
Kelly Land 2500 N State St, Jackson, MS 39216-4500 NURSE PRACTITIONER
Lauren Mcnichol 2500 N State St, Jackson, MS 39216-4500 AUDIOLOGIST
William Meeks 2500 N State St, Jackson, MS 39216-4500 GERIATRIC MEDICINE
Sarah Novotny 2500 N State St, Jackson, MS 39216-4500 OBSTETRICS/GYNECOLOGY
Omar Abdul-rahman 2500 N State St, Jackson, MS 39216-4500 PEDIATRIC MEDICINE
Kathleen Young 2500 N State St, Jackson, MS 39216-4500 CLINICAL PSYCHOLOGIST
Jon Jackson 2500 N State St, Jackson, MS 39216-4500 PSYCHIATRY
James Ishee 2500 N State St, Jackson, MS 39216-4500 CERTIFIED REGISTERED NURSE ANESTHETIST
Kim Geisinger 2500 N State St, Jackson, MS 39216-4500 PATHOLOGY
Amber Shiflett 2500 N State St, Jackson, MS 39216-4500 OBSTETRICS/GYNECOLOGY
Jared Marks 2500 N State St, Jackson, MS 39216-4500 NEUROSURGERY

Zip 39216 · Oral Surgery · Medicare Physician

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

Zip 39216 · Medicare Physician

Name Address Specialty
Beverly Oliver 971 Lakeland Dr, Jackson, MS 39216-4620 NURSE PRACTITIONER
Vanetta Levesque 2500 N State St, Jackson, MS 39216-4500 ANESTHESIOLOGY
Tanyanan Tanawuttiwat 2500 N State St, Jackson, MS 39216-4500 CARDIAC ELECTROPHYSIOLOGY
James Chandler 971 Lakeland Dr, Jackson, MS 39216-4621 GENERAL SURGERY
Chester Lake 2500 N State St, Jackson, MS 39216-4500 ANESTHESIOLOGY
Laura Vick 2500 N State St, Jackson, MS 39216-4500 GENERAL SURGERY
John Studdard 971 Lakeland Dr, Jackson, MS 39216-4609 PULMONARY DISEASE
Kristen Crawford 971 Lakeland Dr, Jackson, MS 39216-4620 INTERNAL MEDICINE
Ann Porter 766 Lakeland Dr A, Jackson, MS 39216-4610 NURSE PRACTITIONER
Scott Mcpherson 969 Lakeland Dr, Jackson, MS 39216-4606 DIAGNOSTIC RADIOLOGY
Hannah White 971 Lakeland Dr, Jackson, MS 39216-4676 NURSE PRACTITIONER
Jared Marks 2500 N State St, Jackson, MS 39216-4500 NEUROSURGERY
Netrali Patel 2500 N State St, Jackson, MS 39216-4500 GERIATRIC MEDICINE
Stephen Kemp 2500 N State St, Jackson, MS 39216-4500 ALLERGY/IMMUNOLOGY
Louis Puneky 2500 N State St, Jackson, MS 39216-4500 MEDICAL ONCOLOGY
Steven Bondi 2500 N State St, Jackson, MS 39216-4500 CRITICAL CARE (INTENSIVISTS)
William Mustain 2500 N State St, Jackson, MS 39216-4500 AUDIOLOGIST
Douglas Wolfe 2500 N State St, Jackson, MS 39216-4500 CARDIAC ELECTROPHYSIOLOGY
Jeffrey Orledge 2500 N State St, Jackson, MS 39216-4500 EMERGENCY MEDICINE
Sophy Mangana 2500 N State St, Jackson, MS 39216-4500 RADIATION ONCOLOGY