NPIMap

Organization Active NPI

Russell Hospital Corporation

Doing business as Russell Medical Center

  • Family Medicine Physician
  • Alexander City, AL
National Provider Identifier
1417252537
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RUSSELL HOSPITAL CORPORATION
Doing business as
Russell Medical Center
Practice address
3316 Highway 280
Alexander City, AL 35010-3369
Phone
(256) 329-7109
Fax
(256) 329-7617
NPI assigned
Jan 20, 2011
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Mr. Lother E Peace III
Title
President/Ceo
Phone
(256) 329-7188

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Rheumatology Physician 207RR0500X
Neurology Physician 2084N0400X

Addresses

Primary practice location

3316 Highway 280
Alexander City, AL 35010-3369

Mailing address

PO Box 939
Alexander City, AL 35011-0939
Phone (256) 329-7109

Other names 1

  • Russell Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110307000502 AL Part B Supplier - Clinic/Group Practice 6406754431 Receives reassigned benefits from 85 practitioners
Practice locations: Alexander City, AL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1417252537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350110939",
            "telephone_number": "256-329-7109",
            "fax_number": "256-329-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103369",
            "telephone_number": "256-329-7109",
            "fax_number": "256-329-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "LOTHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "256-329-7188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Russell Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.