Chassidy Mercedes Russell, MSN, APRN, FNP-BC
Individual provider Active NPI Nurse Practitioner · West Point, GA
NPI 1679344089 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1679344089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2023127904 (GA)
- Practice address
- 901 Avenue C
West Point, GA 31833-1642 - Phone
- (762) 209-8009
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023127904 | GA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2023127904 | GA | Yes |
Addresses
Primary practice location
901 Avenue C
West Point, GA 31833-1642
Mailing address
4749 Irish Red CT
Union City, GA 30291-3480
Phone (229) 942-5927
Other providers in West Point, GA
- Nolan Dental LLC
- James W. Parker
- Pathways Center for Behavioral and Developmental Growth
- Latisha Patten
- Conner Millwood Robbins
- Payal Shroff
- Viviane St.Cloud-Noel
- Stafford Medical Transportation LLC
- Talon Health Data Solutions
- Tina'S Dental , PC
All providers in West Point, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.