Individual provider Active NPI

Stephan Edward Russ, M.D.

  • Emergency Medicine Physician
  • Nashville, TN
National Provider Identifier
1437102852
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
39986 Issued in TN
Practice address
3601 TVC
Nashville, TN 37232-0001
Phone
(615) 322-3000
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 39986 TN
Emergency Medicine Physician 207P00000X 39986 TN Primary

Addresses

Primary practice location

3601 TVC
Nashville, TN 37232-0001

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000

Other practice location 1

1310 24th Ave S
Nashville, TN 37212-2637
Phone (615) 873-6188

Other practice location 2

2835 Highway 231 N
Shelbyville, TN 37160-7327
Phone (615) 875-6415

Other practice location 3

1801 N Jackson St
Tullahoma, TN 37388-2201
Phone (615) 875-6415

Other practice location 4

1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (615) 875-6415

Other identifiers 1

IdentifierTypeStateIssuer
3334955MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sruss32418@direct.vumc.org Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20051021000716 TN Practitioner - Emergency MedicinePractitioner - AnesthesiologyPractitioner - Pediatric Medicine 2961428594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Practice addresses (Care Compare)

1211 Medical Ctr Dr
Nashville, TN 37232-0004
Phone (615) 322-5000

1215 21St Ave S
Nashville, TN 37232-0015
Phone (615) 343-8332

1301 22ND Ave S
Nashville, TN 37232-5100
Phone (615) 322-3000

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

1500 Medical Ctr Dr
Nashville, TN 37232-0016
Phone (615) 322-4751

1801 N Jackson St
Tullahoma, TN 37388-8259
Phone (931) 393-3000

2200 Childrens Way
Nashville, TN 37232-0034
Phone (615) 936-1000

2220 Pierce Ave
Nashville, TN 37232-0021
Phone (615) 936-8422

2311 Pierce Ave
Nashville, TN 37232-0025
Phone (615) 936-2020

2410 8TH Ave S
Nashville, TN 37204-2490
Phone (615) 343-5700

2410 Franklin Pike
Nashville, TN 37204-2227
Phone (615) 936-5858

2603 Bransford Ave
Nashville, TN 37204-2811
Phone (615) 259-8755

2608 8TH Ave S
Nashville, TN 37204-2584

2694 Fessey CT
Nashville, TN 37204-2813
Phone (615) 259-8755

3601 The Vanderbilt Clinic
Nashville, TN 37232-5100
Phone (615) 322-3000

410 24TH Ave S
Nashville, TN 37232-0038
Phone (615) 322-1822

6000 Medical Ctr E - N Tower
Nashville, TN 37232-2350
Phone (615) 936-3636

719 Thompson LN
Nashville, TN 37204-3609
Phone (615) 322-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39986TNMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC CurrentSince May 1, 2025 Accepting new patients
Vanderbilt University Medical Center Emergency Medicine CurrentSince Apr 30, 2016 Accepting new patients
Vanderbilt Integrated Providers, LLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Sycamore Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

Dept AT 40379
Atlanta, GA 31192

Dept A T 40379
Atlanta, GA 31192

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Interoperability endpoints

  • Direct secure messaging: sruss32418@direct.vumc.org

Organizations & group practices 5

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 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1437102852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 TVC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 24th Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372122637",
            "country_code": "US",
            "telephone_number": "615-873-6188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2835 Highway 231 N",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371607327",
            "country_code": "US",
            "telephone_number": "615-875-6415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373882201",
            "country_code": "US",
            "telephone_number": "615-875-6415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 W Baddour Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872513",
            "country_code": "US",
            "telephone_number": "615-875-6415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSS",
        "first_name": "STEPHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TN",
            "license": "39986",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "39986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3334955",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sruss32418@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 Tvc",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.