NPIMap

Individual provider Active NPI

Madeline Rhea Russell, M.D.

  • Gastroenterology Physician
  • Hardeeville, SC
National Provider Identifier
1326304478
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
52394 Issued in SC
Practice address
1010 Medical Center Dr Ste 100
Hardeeville, SC 29927-3452
Phone
(912) 303-4200
Fax
(912) 790-2701
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 081226 GA
Gastroenterology Physician 207RG0100X 52394 SC Primary

Addresses

Primary practice location

1010 Medical Center Dr Ste 100
Hardeeville, SC 29927-3452

Mailing address

PO Box 604411
Charlotte, NC 28260-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180814002716 SC Practitioner - Gastroenterology 3779850250 Reassigns benefits to 2 organizations
I20190729003694 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 3779850250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aga, LLCGroup PAC ID 2365431350, 138 clinicians

Practice addresses (Care Compare)

1010 Medical Ctr Dr
Suite 100
Hardeeville, SC 29927-3452
Phone (404) 888-7575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
44.91
Promoting interoperability
98
Improvement activities
40
Cost
71.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy216
Upper gastrointestinal (GI) endoscopy for acid reflux269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081226GAMDGastroenterology Physician
52394SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga Professional Services, LLC Gastroenterology CurrentSince Jul 1, 2019 Accepting new patients
Aga, LLC Gastroenterology CurrentSince Jul 1, 2019 Accepting new patients
Endoscopy Center LLC Past Accepting new patients

Locations

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075

140 Traders Way
Pooler, GA 31322
Phone (912) 330-8885

1139 Lexington Ave
Ste A
Savannah, GA 31404
Phone (912) 303-4200

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1010 Medical Center Dr
Ste 100
Hardeeville, SC 29927
Phone (843) 342-7607

Interoperability endpoints

  • Direct secure messaging: madeline.russell@ud.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 4

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 4

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1326304478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604411",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DR STE 100",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273452",
            "telephone_number": "912-303-4200",
            "fax_number": "912-790-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MADELINE",
        "middle_name": "RHEA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "081226",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "52394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

Verify at the official NPI Registry.