Individual provider Active NPI

Russell G Remalia, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Cumming, GA
National Provider Identifier
1710073507
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
74998 Issued in GA
Practice address
260 Elm St
Cumming, GA 30040-2467
Phone
(770) 887-1668
Fax
(770) 781-9937
NPI assigned
Oct 5, 2006
Last updated
Aug 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1305 ME
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS9988 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X 74998 GA Primary
Family Medicine Physician 207Q00000X 74998 GA

Addresses

Primary practice location

260 Elm St
Cumming, GA 30040-2467

Mailing address

260 Elm St
Cumming, GA 30040-2467
Phone (770) 887-1668

Other identifiers 3

IdentifierTypeStateIssuer
130110000MedicaidME
130110099MedicaidME
280165500MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161012001811 GA Practitioner - Geriatric MedicinePractitioner - Family Practice 0941245443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of New England, College of Osteo Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

260 Elm St
Cumming, GA 30040-2467
Phone (470) 297-1004

475 Tribble Gap Rd
Cumming, GA 30040-2478

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74998GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Highlands Medical Services, Inc. CurrentSince Aug 20, 2016 Accepting new patients
Georgia Highlands Medical Services Inc CurrentSince Aug 20, 2016 Accepting new patients
Standish Family Practice Family Medicine Past Accepting new patients
Community Hospital Family Practice LLC Geriatric Medicine Past Accepting new patients

Locations

220 Oakside Ln
Canton, GA 30114
Phone (678) 807-1050

775 West Ave
Ste A
Cartersville, GA 30120
Phone (470) 315-4689

260 Elm St
Cumming, GA 30040
Phone (470) 297-1004

475 Tribble Gap Rd
Cumming, GA 30040
Phone (470) 758-8573

5959 Highway 53 E
Dawsonville, GA 30534
Phone (706) 216-2771

Interoperability endpoints

  • Direct secure messaging: russell.remalia@ghms.eclinicaldirectplus.com

Organizations & group practices 4

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 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1710073507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 ELM ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402467",
            "telephone_number": "770-887-1668",
            "fax_number": "770-781-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 ELM ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402467",
            "telephone_number": "770-887-1668",
            "fax_number": "770-781-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMALIA",
        "first_name": "RUSSELL",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1305",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS9988",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "74998",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "74998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130110000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130110099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280165500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.