NPIMap

Individual provider Active NPI

Christopher S. Russell, M.D.

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1609866839
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
043119 Issued in GA
Practice address
95 Collier Rd
Suite 4045 Peachtree Neurological Clinic, P.C.
Atlanta, GA 30309
Phone
(404) 351-2270
Fax
(404) 352-1969
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 043119 GA Primary

Addresses

Primary practice location

95 Collier Rd
Suite 4045 Peachtree Neurological Clinic, P.C.
Atlanta, GA 30309

Mailing address

95 Collier Rd
Suite 4045 Peachtree Neurological Clinic, P.C.
Atlanta, GA 30309
Phone (404) 351-2270

Other identifiers 1

IdentifierTypeStateIssuer
00781063DMedicaidGA

Other names 1

  • Christopher S. Russell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000290 GA Practitioner - Neurology 4385685239 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Emory University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians
Tanner Neuroscience SpecialistGroup PAC ID 3375801434, 15 clinicians
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9297

95 Collier Rd NW
Suite 4045
Atlanta, GA 30309-1749
Phone (404) 351-2270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043119GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC CurrentSince Oct 8, 2013 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Mar 13, 2023 Accepting new patients
Piedmont Providers LLC CurrentSince Jul 1, 2021 Accepting new patients
Piedmont Professional Services, LLC Past Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients
Piedmont Hospital, Inc Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

95 Collier Rd NW
Ste 4045
Atlanta, GA 30309
Phone (404) 351-2270

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: christopherrussell@tmsca.allscriptsdirect.net
  • Direct secure messaging: crussell145572@cityofhope.direct-ci.com

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.

Hospital & facility affiliations 6

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1609866839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD",
            "address_2": "SUITE 4045 PEACHTREE NEUROLOGICAL CLINIC, P.C.",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-351-2270",
            "fax_number": "404-352-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD",
            "address_2": "SUITE 4045 PEACHTREE NEUROLOGICAL CLINIC, P.C.",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-351-2270",
            "fax_number": "404-352-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "043119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00781063D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "RUSSELL",
            "middle_name": "S.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.