Active NPI
Russell G Remalia, DO
- Geriatric Medicine (Family Medicine) Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 74998
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130110000 | Medicaid | ME | |
| 130110099 | Medicaid | ME | |
| 280165500 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74998 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Highlands Medical Services, Inc. | Current | Accepting new patients | |
| Georgia Highlands Medical Services Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Cumming, GA
- NPI 1174529192
-
- Family Medicine Physician
- Standish, ME
- NPI 1265584015
-
- Federally Qualified Health Center (FQHC)
- Buford, GA
- NPI 1427762707
-
dba Northpointe Physicians Group
- Geriatric Medicine (Family Medicine) Physician
- Brooksville, FL
- NPI 1902094857
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.