Tori Hill Russell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25457 Issued in MS

Practice address

502 Broad St
Columbia, MS 39429-3037

Phone

(601) 736-8282

Fax

(601) 736-8333

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

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.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
• Forrest General Home Care of Marion General Home health agency, Columbia, MS, CCN 257089
• St Luke Home Health Services Home health agency, McComb, MS, CCN 257124
• Forrest General Home Care Home health agency, Hattiesburg, MS, CCN 257127
• Marion General Hospital Hospital, Columbia, MS, CCN 250085
• Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078
• Walthall County General Hospital Cah Hospital, Tylertown, MS, CCN 251324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trussell70163@directpatientrecord.com

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.

• Hattiesburg Clinic PA

  • Multi-Specialty Clinic/Center
  • Hattiesburg, MS
  • NPI 1740213446
  Medicare reassignment Care Compare group NPD
• Hattiesburg Clinic, PA

  • Primary Care Clinic/Center
  • Flowood, MS
  • NPI 1912600354
  NPD
• Hattiesburg Clinic, PA

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Laurel, MS
  • NPI 1245263540
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forrest County General Hospital

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1225041809
  Care Compare affiliation
• Forrest County General Hospital

  • Home Health Agency
  • Hattiesburg, MS
  • NPI 1336256700
  Care Compare affiliation
• Forrest County General Hospital

  • Home Health Agency
  • Columbia, MS
  • NPI 1417229055
  Care Compare affiliation
• Forrest County General Hospital

  • General Acute Care Hospital
  • Columbia, MS
  • NPI 1427320993
  Care Compare affiliation
• Home Health Care Systems, Inc.

  • Home Health Agency
  • Hattiesburg, MS
  • NPI 1760416754
  Care Compare affiliation
• St. Luke Home Health Services, LLC

  • Home Health Agency
  • McComb, MS
  • NPI 1255401642
  Care Compare affiliation
• Walthall General Hospital

  • Critical Access Hospital
  • Tylertown, MS
  • NPI 1023326485
  Care Compare affiliation
• Walthall General Hospital

  • Critical Access Hospital
  • Tylertown, MS
  • NPI 1255649604
  Care Compare affiliation

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1407980634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-736-8222",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BROAD ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293037",
            "telephone_number": "601-736-8282",
            "fax_number": "601-736-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1893 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383017799",
            "country_code": "US",
            "telephone_number": "731-423-5585",
            "fax_number": "731-423-5587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TORI",
        "middle_name": "HILL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "45975",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "25457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00872250",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518615",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trussell70163@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "502 Broad St",
            "city": "Columbia",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394293037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert H. Rowley, RPH.
• Shirley P. Rowley, CRNA
• Royal Treatment Personal Care, LLC
• Kevin D Russell Sr.
• Spechele Russell, RN
• Rae Ann Ryan, PHARM. D
• S J Transportation LLC
• Patrick John Sanchez, M.D.
• Sav-on-Drugs of Columbia, Inc
• Michael Schepemaker, FNP

• Family Medicine Physician in Columbia, MS
• Providers in Columbia, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.