Individual provider Active NPI

Russell A Ross, MD

  • Family Medicine Physician
  • Williamston, SC
National Provider Identifier
1245291384
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19015 Issued in SC
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.

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
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 183 clinicians

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040831000524 SC Practitioner - Family PracticePractitioner - Emergency Medicine 9032184353 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edcare Consulting LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Novant Health Urgent Cares LLC Family Medicine CurrentSince Nov 1, 2024 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 PastSince Apr 1, 2007 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)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19015 SC
Family Medicine Physician 207Q00000X 19015 SC Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.