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Dr. Jason M. Nelson , PhD

Psychologist β€’ Athens, GA

Active NPI 1811319403 Individual Practitioner Male Practitioner
Practice location in NPPES

105a Cedar Rock Trace, Suite 5
Athens, GA 30605

Call 7065488697 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

105a Cedar Rock Trace
Suite 5

Athens, GA 30605

Telephone 7065488697
Fax 7065488698
Organization at the Same NPPES Address or Phone
Millie S. Kelleher, Lcsw Facility NPI 1104254598

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

NPI first issued

2014

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, CMS release of October 2, 2026; Medicare.gov, β€œDoes 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Athens and Georgia

45 active clinicians are listed under Psychologist with a practice address in Athens, GA (892 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Athens

6.7% of these 45 clinicians have the CMS telehealth indicator.

13.3% of these 45 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-27
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES GA 3266

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 02, 2023

Registered at 105A CEDAR ROCK TRACE, SUITE 5, ATHENS, GA 30605 (Tel: 7065488697)

πŸ“
Updated Business Mailing Address February 02, 2023

Registered at 1041 CREEK FARM RUN, BOGART, GA 306222791 (Tel: 7066124947)

βœ…
NPI Profile Active January 15, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 15, 2014

Registered at 1090 FOUNDERS BLVD, SUITE B, ATHENS, GA 306066163 (Tel: 7065488697)

πŸ“
Business Mailing Address (Initial Record) January 15, 2014

Registered at 1090 FOUNDERS BLVD, SUITE B, ATHENS, GA 306066163 (Tel: 7065488697)

πŸ‘€
Provider Name / Credentials (Initial Record) January 15, 2014

Recorded as JASON NELSON, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2014

Psychologist (license number reported to NPPES: GA 3266)

🟒
Initial NPI Registration & Enumeration January 15, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811319403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2014
Last Update: February 02, 2023
Sole Proprietor: Yes

Other Psychologists in Athens

All Psychologists in Athens

Mailing Address

1041 Creek Farm Run

Bogart, GA 306222791

Phone: 7066124947

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.