Active NPI
Pamela Mechelle Russell
- Case Manager/Care Coordinator
- Covington, GA
National Provider Identifier
1194668731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 13 Ray Rd
Covington, GA 30014-5954 - Phone
- (470) 456-2143
- NPI assigned
- Apr 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | GA | ||
| Case Manager/Care Coordinator | 171M00000X | GA | Primary |
Addresses
Primary practice location
13 Ray Rd
Covington, GA 30014-5954
Mailing address
13 Ray Rd
Covington, GA 30014-5954
Phone (470) 456-2143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Retailer LLC | Case Management | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1194668731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 RAY RD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300145954",
"telephone_number": "470-456-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 RAY RD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300145954",
"telephone_number": "470-456-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "PAMELA",
"middle_name": "MECHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
- Royal Cottage Inc
- Cassandra Joanne Royal, MA, LPC, CPCS, CCM
- Janet Bernice Royals, M.S., PHARM.D.
- Royalty Healthcare Solutions, LLC
- Moniqueka Rachelle Rucker
- Ryzen Care Partners, LLC
- Aliyah Mariam Saadein, RN
- Cheryl Saddler, C.N.A
- Safeguard Emergency Physicians, LLC
- Sage Dental Group of Georgia, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.