DR. KIRSTIN J. NELSON (M.D.) – Diagnostic Radiology Physician, NPI 1104858307

DR. KIRSTIN J. NELSON (M.D.) is a healthcare provider. based in Statesboro, Georgia. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 40089 (SC). The NPI Number for DR. KIRSTIN J. NELSON (M.D.) is 1104858307

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIRSTIN J. NELSON (M.D.)
NPI
1104858307
Phone
(912) 629-7800
Address
1088 Bermuda Run Ste B
Enumeration Date
7 July 2006
Last Update Date
13 September 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9123528346
Graduation Year
1999 (27 years ago)
PAC ID
8022011139
Group Practice PAC ID
2769542075
Professional Enrollment ID
I20200115002575
Address ID
GA314046261SA4750XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

217 INTERVENTIONAL RADIOLOGY in GA

Provider Addresses for DR. KIRSTIN J. NELSON (M.D.)

  • 1088 Bermuda Run Ste B

    Statesboro, GA 304580858

    Phone: (912) 629-7800

    Fax: (912) 355-1414

    Type: Location

  • 111 Persimmons St

    Bluffton, SC 299104779

    Phone: (912) 629-7800

    Fax: (912) 355-1414

    Type: Location

  • 4750, Waters Avenue, Fairway Oaks, Kensington Park, Savannah, Chatham County, Georgia, 31404, United States

    SUITE 500

    SAVANNAH, GA 314046200

    Phone: (912) 352-8346

    Fax: (912) 355-1414

    Type: Location

  • PO BOX 116336

    ATLANTA, GA 303686336

    Phone: (913) 352-8346

    Fax: (912) 355-1414

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 87 Open Payments records for all available years, with a total value of $1,932.

Total Amount is formed as General ($1,932) + Research ($0) + Ownership ($0) = $1,932.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Inari Medical, Inc. ($946).

Total Amount

$1,932

General + Research + Ownership

Payments

87

Total payment records

General Amount

$1,932

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060810000160IInterventional RadiologyGATBD
I20200115002575IInterventional RadiologySCTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml81818$0
76937Ultrasonic guidance for blood vessel access7974$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes7471$0
J2250Injection, midazolam hydrochloride, per 1 mg5630$0
J3010Injection, fentanyl citrate, 0.1 mg3328$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769542075View full group profile
NameSpecialtyState
Nurse PractitionerGA
Vascular Surgery, General SurgeryGA
Vascular SurgeryGA
Vascular SurgeryGA
General SurgeryGA
Interventional Radiology, Diagnostic RadiologyGA
-GA
Vascular SurgeryGA
Interventional Radiology, Diagnostic RadiologyGA
Vascular SurgeryGA

Reviews

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Frequently asked questions

How do payers reference DR. KIRSTIN J. NELSON (M.D.)?
For DR. KIRSTIN J. NELSON (M.D.), use NPI 1104858307 as the unique 10-digit identifier.
Is DR. KIRSTIN J. NELSON (M.D.) still an active registrant?
DR. KIRSTIN J. NELSON (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. KIRSTIN J. NELSON (M.D.)?
At a glance, DR. KIRSTIN J. NELSON (M.D.) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KIRSTIN J. NELSON (M.D.)?
Directory geography for DR. KIRSTIN J. NELSON (M.D.) centers on Statesboro, Georgia.
When was this NPI issued?
Enumeration for DR. KIRSTIN J. NELSON (M.D.) is noted as July 7, 2006 where the registry provides it.

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