Dr. Fred C. Nelson, D.C., C.C.S.P.
Dr. Fred C. Nelson is a Sports Physician Chiropractor provider (Chiropractor) practicing in Wake Forest, NC, registered in the NPPES registry with NPI 1316979495 since 2006. The credential DC stands for Doctor of Chiropractic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1316979495 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Fred C. Nelson |
| Credential | D.C., C.C.S.P. |
| Sex | Male |
| Practice address | 10405 LIGON MILL RD STE F, Wake Forest, NC, 27587 |
| Phone | 9195562014 |
| Fax | 9195560996 |
| Enumeration date | 2006-07-07 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111NS0005X | Sports Physician Chiropractor | Primary | 1075 | NC |
DC — Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders. About the DC credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 666372 | Other | NC | ACN |
| 08664 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 8908664 | Medicaid | NC | — |
| 2343112 | Other | NC | AETNA/HMO |
| 4455933 | Other | NC | AETNA/NON-HMO |
Copy-ready billing details
Provider: Fred Nelson, D.C., C.C.S.P. NPI: 1316979495 Taxonomy: 111NS0005X (Sports Physician Chiropractor) Address: 10405 LIGON MILL RD STE F, Wake Forest, NC, 27587
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073682894 | Fred C. Nelson, Chiropractic Physician P.A. | Organization | Chiropractor | Wake Forest, NC |
| 1316332307 | Russ C Redd Dc Pllc | Organization | Chiropractor | Wake Forest, NC |
Verify this record
Cross-check NPI 1316979495 against the authoritative CMS record: view Dr. Fred C. Nelson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.