Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Michael E Nelson , MD

Internal Medicine • Athens, GA

Active NPI 1821026295 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1500 Oglethorpe Ave, Suite 2200
Athens, GA 306062179

Call 7065430471 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1500 Oglethorpe Ave
Suite 2200

Athens, GA 306062179

Telephone 7065430471
Fax 7065436091
Organization at the Same NPPES Address or Phone
Dental Sleep Medicine Of Ga Pc Facility NPI 1508813031

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Piedmont Athens Primary Care Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2000

Medicare patients

42 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $13,292 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $9,239 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

2,486 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$112,464 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $177.31 across 9 records.

By nature of payment

  • Food and Beverage: $177.31 across 9 records.

Reporting-company totals (3 largest of 7)

  • AstraZeneca Pharmaceuticals LP: $38.79 across 2 records.
  • Novo Nordisk Inc: $29.83 across 2 records.
  • Dynavax Technologies Corporation: $29.02 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Nelson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Nelson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Athens and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Athens, GA (2024, 91 clinicians with data). Median for this group: 702. Middle half: 245 to 1,194.

Fewer Medicare Part B services than 85% of clinicians listed under Internal Medicine in Georgia (2024, 2,224 clinicians with data). Median for this group: 672. Middle half: 262 to 1,455.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Athens, GA (2024, 91 clinicians with data). Median for this group: $65,654. Middle half: $23,254 to $110,819.

A lower Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Georgia (2024, 2,224 clinicians with data). Median for this group: $60,432. Middle half: $25,430 to $112,727.

Paid by Medicare

A lower Medicare payment amount than 80% of clinicians listed under Internal Medicine in Athens, GA (2024, 91 clinicians with data). Median for this group: $51,163. Middle half: $17,082 to $87,818.

A lower Medicare payment amount than 85% of clinicians listed under Internal Medicine in Georgia (2024, 2,224 clinicians with data). Median for this group: $46,319. Middle half: $19,271 to $87,339.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Internal Medicine in Athens, GA (2024, 105 clinicians with data). Median for this group: 365. Middle half: 92 to 2,699.

Close to the middle for clinicians listed under Internal Medicine in Georgia (2024, 2,481 clinicians with data). Median for this group: 990. Middle half: 139 to 5,701.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Internal Medicine in Athens, GA (2024, 105 clinicians with data). Median for this group: $27,545. Middle half: $1,008 to $268,768.

Close to the middle for clinicians listed under Internal Medicine in Georgia (2024, 2,481 clinicians with data). Median for this group: $71,428. Middle half: $6,948 to $490,450.

139 active clinicians are listed under Internal Medicine with a practice address in Athens, GA (3,919 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Athens

19.4% of these 139 clinicians have the CMS telehealth indicator.

76.3% of these 139 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $177.31.

Manufacturer Payment Nature Product Type Amount ($)
Dynavax Technologies Corporation
Food and Beverage
In-kind items and services
Heplisav-B General $29.02
Exact Sciences Corporation
Food and Beverage
In-kind items and services
The Cologuard Plus Collection Kit General $24.24
Sanofi Pasteur Inc.
Food and Beverage
In-kind items and services
BEYFORTUS General $19.94
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $19.62
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $19.17
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $18.47
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
SHINGRIX General $17.02
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $15.33
Novo Nordisk Inc
Food and Beverage
In-kind items and services
— General $14.50

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
73 35 $382.47 $121.70
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
33 24 $258.88 $85.98
90662 Influenza vaccine split virus, preservative free
14 14 $219.00 $81.82
G0008 Administration of influenza virus vaccine
14 14 $57.00 $30.39

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 94 8,280 $976.90 27
Metoprolol Succinate Metoprolol Succinate 65 4,350 $905.25 14
Mounjaro Tirzepatide 61 2,296 $79,493.07 —
Lisinopril Lisinopril 59 5,288 $392.59 17
Amlodipine Besylate Amlodipine Besylate 55 4,870 $270.96 18
Hydrochlorothiazide Hydrochlorothiazide 55 3,750 $215.88 14
Metformin Hcl Metformin Hcl 53 4,010 $328.75 13
Levothyroxine Sodium Levothyroxine Sodium 51 4,530 $592.60 14
Simvastatin Simvastatin 46 3,340 $262.64 11
Losartan Potassium Losartan Potassium 38 3,420 $286.26 11
Albuterol Sulfate Hfa Albuterol Sulfate 34 783 $797.15 12
Omeprazole Omeprazole 31 1,890 $119.27 —
Gabapentin Gabapentin 30 2,300 $647.54 12
Meloxicam Meloxicam 27 804 $42.20 —
Sertraline Hcl Sertraline Hcl 27 2,250 $114.17 —
Allopurinol Allopurinol 26 2,220 $315.71 —
Rosuvastatin Calcium Rosuvastatin Calcium 26 2,340 $504.88 —
Farxiga Dapagliflozin Propanediol 25 1,050 $18,945.52 —
Furosemide Furosemide 23 1,230 $110.79 —
Potassium Chloride Potassium Chloride 23 967 $305.43 —
Metoprolol Tartrate Metoprolol Tartrate 20 1,560 $64.34 —
Famotidine Famotidine 20 1,720 $151.11 —
Pantoprazole Sodium Pantoprazole Sodium 19 1,350 $148.45 —
Cefdinir Cefdinir 19 166 $241.79 18
Zolpidem Tartrate Zolpidem Tartrate 18 660 $119.58 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES GA 054406

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES GA 054406

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
624289802B (GA)
Medicaid ID
624289802A (GA)
Medicaid ID
624289802C (GA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20040715000748

Enrollment State Jurisdiction

GA

PECOS Control ID

2668451444

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Piedmont Athens Primary Care Llc

1500 Oglethorpe Ave, Athens, GA 306062188

Phone: 7065430471

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Matthew Baker , MD

Internal Medicine

NPI 1316975782

Doctor of Medicine (M.D.)

Dr. Melissa Martin , MD

Internal Medicine

NPI 1962430090

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated June 28, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1821026295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: June 22, 2010
Sole Proprietor: No

Other Internal Medicine Providers in Athens

All Internal Medicine Providers in Athens

Mailing Address

1500 Oglethorpe Ave, Suite 2200

Athens, GA 306062179

Phone: 7065430471

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.