Joshua Sanders Dimmig-Russell, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

232569 Issued in GA

Practice address

10680 Medlock Bridge Rd Ste 102
Johns Creek, GA 30097-8420

Phone

(770) 389-9116

NPI assigned

Aug 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, NC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.75 of 100Reported as group

Quality

55.37

Improvement activities

40

Cost

47.65

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Fastmed P.C.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1629841788
  Medicare reassignment Care Compare group NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1578047536
  Medicare reassignment NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD
• Fastmed Primary Care, P.C.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1912774423
  NPD (past)
• Fastmed Urgent Care PC

  • General Practice Physician
  • Charlotte, NC
  • NPI 1154624831
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1568075950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 RED FOX RUN SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472465",
            "telephone_number": "716-912-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 MEDLOCK BRIDGE RD STE 102",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978420",
            "telephone_number": "770-389-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1587 Red Fox Run SW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300472465",
            "country_code": "US",
            "telephone_number": "716-912-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMMIG-RUSSELL",
        "first_name": "JOSHUA",
        "middle_name": "SANDERS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "232569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katerina Rafaela Dikefalos, LAPC, M.S.
• Andrea Dillard, MD
• Yang Ding
• Divine Medicine LLC
• Emily Rose Dixon, CNM, FNP
• Doctor'S Hearing Center, Inc.
• Naga Doddapaneni, M.D

• Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.