Individual provider Active NPI

Griffin Keith Russell

  • Pediatrics Physician
  • Center Point, AL
National Provider Identifier
1457980740
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.43527 Issued in AL
Practice address
2152 Old Springville Rd
Center Point, AL 35215-4005
Phone
(205) 838-6000
NPI assigned
Apr 7, 2020
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.43527 AL
Pediatrics Physician 208000000X MD.43527 AL Primary

Addresses

Primary practice location

2152 Old Springville Rd
Center Point, AL 35215-4005

Mailing address

2152 Old Springville Rd
Center Point, AL 35215-4005
Phone (205) 838-6000

Other practice location 1

5720 1st Ave S
Birmingham, AL 35212-2522
Phone (205) 380-9455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240723003143 AL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8921438730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Health Center IncGroup PAC ID 9931106986, 22 clinicians

Practice addresses (Care Compare)

2152 Old Springville Rd
Center Point, AL 35215-4005
Phone (205) 838-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.43527ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Health Center Inc CurrentSince Jul 1, 2024 Accepting new patients
Christ Health Center Inc CurrentSince Jul 1, 2024 Accepting new patients
St. Vincent's East Past Accepting new patients

Locations

5720 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9455

2152 Old Springville Rd
Center Point, AL 35215
Phone (205) 838-6000

Interoperability endpoints

  • Direct secure messaging: griffin.russell.1@12373.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1457980740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 OLD SPRINGVILLE RD",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352154005",
            "telephone_number": "205-838-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 OLD SPRINGVILLE RD",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352154005",
            "telephone_number": "205-838-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5720 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352122522",
            "country_code": "US",
            "telephone_number": "205-380-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "GRIFFIN",
        "middle_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.43527",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.43527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Point, AL

Sources for this page

Verify at the official NPI Registry.