Individual provider Active NPI

Jeffrey Kent Russell, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Asheville, NC
National Provider Identifier
1295897130
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21710 Issued in NC
Practice address
750 Alliance CT
Asheville, NC 28806-2248
Phone
(828) 670-6812
Fax
(828) 670-5703
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21710 NC Primary

Addresses

Primary practice location

750 Alliance CT
Asheville, NC 28806-2248

Mailing address

750 Alliance CT
Asheville, NC 28806-2248
Phone (828) 670-6812

Other identifiers 1

IdentifierTypeStateIssuer
8974053MedicaidNC

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21710NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Endocrinology Consultants, PA Endocrinology, Diabetes & Metabolism Current Accepting new patients

Locations

750 Alliance Ct
Asheville, NC 28806
Phone (828) 253-6812

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1295897130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ALLIANCE CT",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062248",
            "telephone_number": "828-670-6812",
            "fax_number": "828-670-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ALLIANCE CT",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062248",
            "telephone_number": "828-670-6812",
            "fax_number": "828-670-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JEFFREY",
        "middle_name": "KENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "21710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8974053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.