Active NPI
Russell A Ross, MD
- Family Medicine Physician
- Williamston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19015
- Practice address
- 520 Mountain View Rd
Williamston, SC 29697-9601 - Phone
- (864) 225-0313
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1841026382
Family Medicine, SC
-
- Emergency Medicine Physician
- Abbeville, SC
- NPI 1053534750
Emergency Medicine, SC
-
- Chiropractor
- Anderson, SC
- NPI 1528113362
-
- Family Medicine Physician
- Anderson, SC
- NPI 1871556357
Family Medicine
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
Emergency Medicine
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Carolina School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Urgent Cares LLC
Practice addresses (Care Compare)
2126 Hwy 81 N
Anderson, SC 29621-1532
Phone (864) 226-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040831000524 | SC | Practitioner - Family Practice | 9032184353 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edcare Consulting LLC | Emergency Medicine | Current | Accepting new patients |
| Novant Health Urgent Cares LLC | Family Medicine | Current | Accepting new patients |
| Gaillard & Hinnant Family Practice LLC | Family Medicine | Past | Accepting new patients |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Anderson Wellness Center | Past | Accepting new patients |
Locations
420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649
6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484
2126 Highway 81 N
Anderson, SC 29621
Phone (864) 226-2660
100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19015 | SC | |
| Family Medicine Physician | 207Q00000X | 19015 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
520 Mountain View Rd
Williamston, SC 29697-9601
Mailing address
520 Mountain View Rd
Williamston, SC 29697-9601
Phone (864) 225-0313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2020.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1245291384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MOUNTAIN VIEW RD",
"city": "WILLIAMSTON",
"state": "SC",
"postal_code": "296979601",
"telephone_number": "864-225-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MOUNTAIN VIEW RD",
"city": "WILLIAMSTON",
"state": "SC",
"postal_code": "296979601",
"telephone_number": "864-225-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "RUSSELL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "19015",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "19015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.