NPIMap

Individual provider Active NPI

John Andrew Haws Russell, MD

  • Obstetrics & Gynecology Physician
  • Greenwood, SC
National Provider Identifier
1619925294
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19429 Issued in SC
Practice address
106 Liner Dr
Greenwood, SC 29646
Phone
(864) 227-6371
Fax
(864) 227-6371
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19429 SC Primary

Addresses

Primary practice location

106 Liner Dr
Greenwood, SC 29646

Mailing address

106 Liner Dr
Greenwood, SC 29646
Phone (864) 943-0274

Other identifiers 1

IdentifierTypeStateIssuer
194293MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20120501000089 SC Practitioner - Obstetrics/Gynecology 8224290754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Eastern Virginia Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians

Practice addresses (Care Compare)

102 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone (864) 229-2663

102 Katie CT
Greenwood, SC 29646-4068
Phone (864) 725-7770

1033 Edgefield St
Greenwood, SC 29646-3205
Phone (864) 227-3908

104 Wells Ave
Greenwood, SC 29646-3837

105 Vinecrest CT
Greenwood, SC 29646-8031

109 Liner Dr
Greenwood, SC 29646-2311
Phone (864) 227-6401

1123 Spring St
Greenwood, SC 29646-3833
Phone (864) 450-9036

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

1325 Spring St
Greenwood, SC 29646-3875

138 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4138

1506 Spring St
Greenwood, SC 29646-4071
Phone (864) 725-7900

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090

298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232

305 W Alexander Ave
A
Greenwood, SC 29646-4009
Phone (864) 725-4111

410 Epting Ave
Greenwood, SC 29646-4040
Phone (864) 725-6042

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare CurrentSince May 25, 2023 Accepting new patients
Self Medical Group CurrentSince May 25, 2023 Accepting new patients
Self Medical Group CurrentSince May 25, 2023 Accepting new patients
Self Regional Healthcare CurrentSince May 25, 2023 Accepting new patients
Self Medical Group Current Accepting new patients
Self Regional Healthcare Past Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

102 Katie Ct
Greenwood, SC 29646
Phone (864) 227-2022

106 Liner Dr
Greenwood, SC 29646
Phone (803) 227-6371

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

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

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1619925294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LINER DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29646",
            "telephone_number": "864-943-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LINER DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29646",
            "telephone_number": "864-227-6371",
            "fax_number": "864-227-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOHN",
        "middle_name": "ANDREW HAWS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "19429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194293",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.