Individual provider Active NPI

Russ Steven Kotwal, MD, MPH

  • Aerospace Medicine Physician
  • Columbus, GA
National Provider Identifier
1568545895
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
045076 Issued in GA
Practice address
6400 1St Infantry Brigade Loop
Columbus, GA 31905-6499
Phone
(706) 545-4545
Fax
(706) 545-5762
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 045076 GA
Aerospace Medicine Physician 2083A0100X 045076 GA Primary

Addresses

Primary practice location

6400 1St Infantry Brigade Loop
Columbus, GA 31905-6499

Mailing address

6400 1St Infantry Brigade Loop
Columbus, GA 31905-6499
Phone (706) 545-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045076GAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1568545895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 1ST INFANTRY BRIGADE LOOP",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319056499",
            "telephone_number": "706-545-4545",
            "fax_number": "706-545-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 1ST INFANTRY BRIGADE LOOP",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319056499",
            "telephone_number": "706-545-4545",
            "fax_number": "706-545-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTWAL",
        "first_name": "RUSS",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045076",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "GA",
            "license": "045076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.