Russell G. O'Neal, M.D., L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

054410 Issued in GA

Legal business name

RUSSELL G. O'NEAL, M.D., L.L.C.

Practice address

1760 Bass Rd Ste 200a
Macon, GA 31210-1061

Phone

(478) 309-1212

Fax

(866) 493-2791

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Megan L Stuart

Title

Manager

Phone

(478) 309-1212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgan McPherson Ennis, NP

  • Primary Care Nurse Practitioner
  • Macon, GA
  • NPI 1932843158
  Medicare reassignment Care Compare group NPD
• Russell G Oneal, MD

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1952415853
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1689008658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 BASS RD STE 200A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101061",
            "telephone_number": "478-309-1212",
            "fax_number": "866-493-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 BASS RD STE 200A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101061",
            "telephone_number": "478-309-1212",
            "fax_number": "866-493-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL G. O'NEAL, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-309-1212"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ruffin, MS, BCBA
• Edward Wood Ruffin, LCSW
• Hannah Elizabeth Rule, LAPC
• Sydney Rumney
• Joy R Rusmisell, PA-AA
• Tamatha Rutherford, SPEECH-LANGUAGE PATH
• Ruthie'S Assisted Living Inc.
• Wanda Rutland Bond
• Rutland Family Healthcare LLC
• Rutland Medical Supply

• Internal Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.