Russ Daniel Hopper, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

88084 Issued in GA

Practice address

201 E 16TH Ave
Cordele, GA 31015-1623

Phone

(229) 273-8501

NPI assigned

Sep 13, 2018

Last updated

Aug 1, 2022By the provider in NPPES

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

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

Specialty

Family Practice

Education

Mercer University School of Medicine, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Stevens Health Services PCGroup PAC ID 8123211349, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caresouth, an Affiliate of Crisp Reg Hospital Home health agency, Cordele, GA, CCN 117309
• Crisp Regional Hospice and Palliative Care Hospice, Cordele, GA, CCN 111550
• Crisp Regional Hospital Hospital, Cordele, GA, CCN 110104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stevens Health Services PC

  • Internal Medicine Physician
  • Cordele, GA
  • NPI 1467779082

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crisp Regional Hospital Inc

  dba Crisp Regional Hospital

  • General Acute Care Hospital
  • Cordele, GA
  • NPI 1700851649
  Care Compare affiliation
• Crisp Regional Hospital, Inc

  dba Crisp Regional Hospice

  • Community Based Hospice Care Agency
  • Cordele, GA
  • NPI 1699740498
  Care Compare affiliation
• Crisp Regional Hospital, Inc.

  dba CareSouth an Affiliate of Crisp Regional Hospital

  • Home Health Agency
  • Cordele, GA
  • NPI 1376518118
  Care Compare affiliation

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1598248643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151623",
            "telephone_number": "229-273-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151623",
            "telephone_number": "229-273-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "RUSS",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "88084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanisha Hobgood
• Holloway Internal Medicine
• Kevin M Holloway, MD
• Cynthia Holt, RN
• Jacqueline Brewer Hopkins, LPC
• Nedra Houser
• Elisabeth Hope Howard, APRN, CNM
• Kevin Hughes, DPT
• Margaret Huntoon
• Robert Toy Hurt, Jr., DDS

• Family Medicine Physician in Cordele, GA
• Providers in Cordele, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.