Active NPI
Joseph L. a. Russell, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 51474
- Practice address
- 2850 Tricom St
North Charleston, SC 29406-9171 - Phone
- (843) 863-1188
- Fax
- (843) 863-8286
- NPI assigned
- May 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Q6275 | TX | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 51474 | SC | Primary |
Addresses
Primary practice location
2850 Tricom St
North Charleston, SC 29406-9171
Mailing address
2850 Tricom St
North Charleston, SC 29406-9171
Phone (843) 863-1188
Other practice location 1
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of South Carolina School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1166
2850 Tricom St
North Charleston, SC 29406-9192
Phone (843) 817-0488
900 Bowman Rd
Suite 201
Mount Pleasant, SC 29464-3221
Phone (843) 971-0139
Hospital & facility affiliations
- Trident Medical Center
- JPS Health Network
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51474 | SC | MD | Otolaryngology/Facial Plastic Surgery Physician |
| Q6275 | TX | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Surgical Consultants, LLC | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| National Allergy Asthma & Urticaria Centers of Charleston, PA | Current | Accepting new patients | |
| National Allergy Asthma & Urticaria Centers of Charleston PA | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| National Allergy Asthma & Urticaria Centers of Charleston PA | Past | Accepting new patients | |
| National Allergy Asthma & Urticaria Centers of Charleston PA | Past | Accepting new patients | |
| Andrew Jacono MD PLLC | Past | Accepting new patients |
Locations
730 Stony Landing Rd
Ste 200
Moncks Corner, SC 29461
Phone (843) 285-2500
900 Bowman Rd
Ste 201
Mt Pleasant, SC 29464
Phone (843) 797-8162
7555 Northside Dr
North Charleston, SC 29420
Phone (843) 797-8162
2850 Tricom St
North Charleston, SC 29406
Phone (843) 817-0488
9165 University Blvd
North Charleston, SC 29406
Phone (843) 797-8162
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
Organizations & group practices 7
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- North Charleston, SC
- NPI 1629966460
-
- Allergy Physician
- Charleston, SC
- NPI 1023103850
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Allergy Physician
- Charleston, SC
- NPI 1932294766
-
- Allergy Physician
- Charleston, SC
- NPI 1114012945
-
- Allergy & Immunology Physician
- North Charleston, SC
- NPI 1649220773
-
- Plastic and Reconstructive Surgery Physician
- Great Neck, NY
- NPI 1134352024
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1578855433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-863-1188",
"fax_number": "843-863-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-863-1188",
"fax_number": "843-863-8286"
}
],
"practiceLocations": [
{
"address_1": "1500 S Main St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044917",
"country_code": "US",
"telephone_number": "817-702-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "JOSEPH",
"middle_name": "L. A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-11",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "TX",
"license": "Q6275",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "SC",
"license": "51474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.