NPIMap

Individual provider Active NPI

Horace Ainsley Russell Jr., MD

  • Internal Medicine Physician
  • Canton, MS
National Provider Identifier
1013357458
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T-2711 Issued in MS
Practice address
161 River Oaks Dr
Canton, MS 39046-5375
Phone
(601) 376-2832
Fax
(601) 376-1815
NPI assigned
Jun 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T-2711 MS Primary

Addresses

Primary practice location

161 River Oaks Dr
Canton, MS 39046-5375

Mailing address

PO Box 321359
Flowood, MS 39232-1359
Phone (601) 936-1395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023001802 MS Practitioner - Internal Medicine 8224304001 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Hma Hospitalists LLCGroup PAC ID 5991972077, 55 clinicians
Dumont Physician Services LLCGroup PAC ID 6800385576, 44 clinicians

Practice addresses (Care Compare)

161 River Oaks Dr
Canton, MS 39046-5375
Phone (601) 855-4001

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
  • Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104
  • Merit Health Natchez Hospital, Natchez, MS, CCN 250084
  • King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057
  • Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-2711MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Hma Hospitalists, LLC CurrentSince Sep 1, 2017 Accepting new patients
Mississippi Hma Hospitalists, LLC CurrentSince Sep 1, 2017 Accepting new patients
River Oaks Hospital LLC Past Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

Interoperability endpoints

  • Direct secure messaging: horace.russell@hm-ms.direct.office.nextgen.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1013357458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321359",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321359",
            "telephone_number": "601-936-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RIVER OAKS DR",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465375",
            "telephone_number": "601-376-2832",
            "fax_number": "601-376-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "HORACE",
        "middle_name": "AINSLEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-30",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-2711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

Verify at the official NPI Registry.