Brandi Powell Russ, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21621 Issued in SC

Practice address

755 E Smith St
Timmonsville, SC 29161-9430

Phone

(843) 346-3900

Fax

(843) 346-7839

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruss22080@directmcleodehealth.org

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.

• Lowcountry Urgent Care LLC

  • Primary Care Nurse Practitioner
  • Beaufort, SC
  • NPI 1326364100
  Medicare reassignment NPD
• McLeod Health Clarendon

  • Certified Registered Nurse Anesthetist
  • Manning, SC
  • NPI 1508218793
  Medicare reassignment NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494
  Medicare reassignment NPD
• McLeod Health Clarendon

  • Rural Health Clinic/Center
  • Timmonsville, SC
  • NPI 1003461773
  NPD
• McLeod Health Clarendon

  • Family Medicine Physician
  • Manning, SC
  • NPI 1497104525
  NPD
• McLeod Physician Associates II

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739
  NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Dillon, SC
  • NPI 1568434249
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1346741121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E SMITH ST",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291619430",
            "telephone_number": "843-346-3900",
            "fax_number": "843-346-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E SMITH ST",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291619430",
            "telephone_number": "843-346-3900",
            "fax_number": "843-346-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "BRANDI",
        "middle_name": "POWELL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5077",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandi.russ@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "755 E Smith St",
            "city": "Timmonsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291619430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Teresa Maria Price
• Professional Medical Training and Supply
• Putting You First Counseling Service
• Michelle Danielle Reeves, ATC
• RH Safe Medtransit
• Laura Lee Samuel
• Joy Schuth, NRP
• Allison Slice, FNP
• Shelley Stokes, MS,CCC-SLP
• Sandy Stone

• Family Nurse Practitioner in Timmonsville, SC
• Providers in Timmonsville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.