DAVID NEILSEN (MD) – Emergency Medicine Physician, NPI 1023076270
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for DAVID NEILSEN (MD)
364 LIBERTY LN
DAWSONVILLE, GA 305345036
Phone: (706) 974-8719
Type: Mailing
Fannin Regional Hospital, 2855, Old Highway 5, Blue Ridge, Fannin County, Georgia, 30513, United States
BLUE RIDGE, GA 305136248
Phone: (800) 291-4020
Fax: (919) 419-7247
Type: Location
3211, Shannon Road, Durham, Durham County, North Carolina, 27707, United States
SUITE 300
DURHAM, NC 277076322
Phone: (800) 291-4020
Fax: (919) 419-7247
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040526000962 | I | Family Practice | GA | TBD |
| I20160517000106 | I | Emergency Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30534)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA |
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