ERIC JOHN NELSON (MD) – Cardiovascular Disease Physician, NPI 1609838705

ERIC JOHN NELSON (MD) is a healthcare provider. based in Cumming, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 230786 (MA). The NPI Number for ERIC JOHN NELSON (MD) is 1609838705

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ERIC JOHN NELSON (MD)
NPI
1609838705
Phone
(678) 513-2273
Address
3970 DEPUTY BILL CANTRELL MEMORIAL RD
Enumeration Date
4 April 2006
Last Update Date
26 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
9931204948
Group Practice PAC ID
9739189838
Professional Enrollment ID
I20150420001956
Address ID
GA301158029CA470XXBLVD400

Contacts

Secure Messaging
NorthsideHeart@Northside.gwaydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for ERIC JOHN NELSON (MD)

  • Cumming Park & Ride, Deputy Bill Cantrell Memorial Road, Forsyth County, Georgia, 30041, United States

    SUITE 100

    CUMMING, GA 30040

    Phone: (678) 513-2273

    Fax: (678) 513-8869

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,254.

Total Amount is formed as General ($1,254) + Research ($0) + Ownership ($0) = $1,254.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($185).

Total Amount

$1,254

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2015-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20150420001956ICardiovascular Disease (Cardiology)GATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes495333$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function332328$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report306289$0
J2785Injection, regadenoson, 0.1 mg19649$0
93356Heart muscle strain imaging179177$0
View full utilization report →

Insurance plans in this area (ZIP 30040)

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Provider's Procedures

ERIC JOHN NELSON (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies100100
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report138135
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart1212

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: 9739189838View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyGA
-GA
Nurse PractitionerGA
Internal Medicine, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Physician AssistantOH
Physician AssistantGA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do payers reference ERIC JOHN NELSON (MD)?
For ERIC JOHN NELSON (MD), use NPI 1609838705 as the unique 10-digit identifier.
Would ERIC JOHN NELSON (MD) appear as active to a payer?
You can treat ERIC JOHN NELSON (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ERIC JOHN NELSON (MD)?
ERIC JOHN NELSON (MD)'s specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ERIC JOHN NELSON (MD)?
Travel planning: use Cumming, Georgia as the reference point for ERIC JOHN NELSON (MD), then confirm.
Does ERIC JOHN NELSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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