DR. JEFFERY A. RUSSELL (NPI# 1427122951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427122951 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY A. RUSSELL |
| Credential | DC |
| Practice Address |
624 N Main Ave Pine Mountain GA 31822-2403 |
| Mailing Address |
624 N Main Ave P.o. Box 1690 Pine Mountain GA 31822-2403 |
| Practice Telephone | 7066638801 |
| Mailing Telephone | 7066638801 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR007961 | GA | Chiropractic Providers |
| Street Address |
624 N MAIN AVE |
| City | PINE MOUNTAIN |
| State | GA |
| Zip Code | 31822-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023201217 | Pine Mountain Chiropractic Center, LLC | Clinic/Center | 624 N Main Ave, Pine Mountain, GA 31822-2403 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871898676 | Steve Earles | Physical Therapist | 1514 Piedmont Lake Road, Pine Mountain, GA 31822 | 2011-01-26 |
| 1780915165 | Pine Mountain Family Dentistry, LLC | Dentist | 8944 Hamilton Road, Pine Mountain, GA 31822 | 2010-01-25 |
| 1194857813 | Timothy Turco | Psychologist | 107 Broad St., Pine Mountain, GA 31822 | 2007-03-09 |
| 1417944075 | Chattahoochee Valley Hospital Society | Home Health | Us Hwy 27 and 354, 5700 Chipley Village, Pine Mountain, GA 31822-0475 | 2005-09-29 |
| 1447280672 | Pine Mountain Pharmacy, Inc | Pharmacy | 145 N Main Ave, Pine Mountain, GA 31822-0500 | 2006-07-04 |
| 1255331351 | Mack H Clements | Family Medicine | 211 East Broad St, Pine Mountain, GA 31822-0516 | 2005-07-29 |
| 1801083134 | Clements Professional Association Pine Mountain | General Practice | 211 East Broad St, Pine Mountain, GA 31822-0516 | 2007-10-01 |
| 1700859840 | Grady Glenn Barnwell Jr. | Obstetrics & Gynecology | 217 W Harris St, Pine Mountain, GA 31822-1149 | 2006-02-09 |
| 1538382171 | Pine Mountain Eye Care | Optometrist | 414 S Main Ave, Pine Mountain, GA 31822-2355 | 2007-04-11 |
| 1841541869 | Jdf Corporation | Durable Medical Equipment & Medical Supplies | 145 N Main Ave, Pine Mountain, GA 31822-2454 | 2012-10-01 |
| Find all providers in zip 31822 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245249 | Aaron D Young | Chiropractor | 860 Baltimore Pl Sw, Marietta, GA 30064-3959 | 2020-11-05 |
| 1831790435 | Li Ma | Chiropractor | 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 | 2020-11-02 |
| 1124627260 | Jordan Louis Mallamace | Chiropractor | 6110 Mcfarland Station Dr Unit 400, Alpharetta, GA 30004-6806 | 2020-10-20 |
| 1043818693 | 100 Percent Chiropractic Gibson LLC | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
| 1285231902 | Austin Fortner | Chiropractor | 485 Pooler Pkwy, Pooler, GA 31322-5102 | 2020-10-06 |
| 1073129441 | Ian Michael Koll | Chiropractor | 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 | 2020-09-21 |
| 1558977397 | Kristin Best | Chiropractor | 1189 Ashborough Dr Se Apt A, Marietta, GA 30067-6918 | 2020-09-17 |
| 1952915357 | Shaun Olsen | Chiropractor | 600 Houze Way Ste E1, Roswell, GA 30076-1434 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | PINE MOUNTAIN |
| Zip Code | 31822 |
Please comment or provide details below to improve the information on DR. JEFFERY A. RUSSELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.