John Clayton Nelson, MD - Medicare Family Practice in Petal, MS

John Clayton Nelson, MD is a medicare enrolled "Family Medicine" physician in Petal, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeastern Emergency Physicians Llc and his current practice location is 1146 Evelyn Gandy Pkwy, Petal, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 584-4309.

John Clayton Nelson is licensed to practice in Mississippi (license number 08024) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366470056.

Contact Information

John Clayton Nelson, MD
1146 Evelyn Gandy Pkwy,
Petal, MS 39465-3947
(601) 584-4309
Not Available

Map and Direction




Physician's Profile

Full NameJohn Clayton Nelson
GenderMale
SpecialityFamily Practice
Experience47 Years
Location1146 Evelyn Gandy Pkwy, Petal, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Clayton Nelson attended and graduated from University Of Mississippi School Of Medicine in 1977
  NPI Data:
  • NPI Number: 1366470056
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 07/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931206620
  • Enrollment ID: I20100719000704

Medical Identifiers

Medical identifiers for John Clayton Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366470056NPI-NPPES
00019517MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 08024 (Mississippi)Primary
207P00000XEmergency Medicine 08024 (Mississippi)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial Hospital Union CountyNew albany, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John Clayton Nelson allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050407000866
Entity NameWesley Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538200209
PECOS PAC ID: 2466559851
Enrollment ID: O20070518000496
Entity NameHancock Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295142396
PECOS PAC ID: 8022237015
Enrollment ID: O20140924002285
Entity NameApp Of Mississippi Ed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Clayton Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Clayton Nelson, MD
1146 Evelyn Gandy Pkwy,
Petal, MS 39465-3947

Ph: (601) 584-4309
John Clayton Nelson, MD
1146 Evelyn Gandy Pkwy,
Petal, MS 39465-3947

Ph: (601) 584-4309

Reviews and Comments


Family Medicine Doctors in Petal, MS

Rodney N Lovitt, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Parkway Ln, Petal, MS 39465
Phone: 601-544-7404    Fax: 601-584-6457
Mr. William Phillip Fortenberry Jr.,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 50 Parkway Ln, Petal, MS 39465
Phone: 601-544-7404    
Patricia Lurline Campbell, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465
Phone: 601-584-4309    
Ronald A Bullock, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Parkway Ln, Petal, MS 39465
Phone: 601-705-2897    Fax: 601-584-6457
Donald V Conerly, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Parkway Ln, Petal, MS 39465
Phone: 601-705-2897    Fax: 601-584-6457
Dr. Robert Michael Weaver, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465
Phone: 601-584-4309    Fax: 601-584-4890

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.