Individual provider Active NPI

Russell A Knight, M.D.

  • Emergency Medicine Physician
  • Tupelo, MS
National Provider Identifier
1730123142
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18957 Issued in MS
Practice address
830 S Gloster St
Tupelo, MS 38801-4934
Phone
(866) 754-3852
Fax
(205) 313-5245
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18957 MS Primary

Addresses

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4934

Mailing address

255 Cherry Bark Dr
Brandon, MS 39047-9519
Phone (866) 754-3852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070315000484 MS Practitioner - Emergency Medicine 6709989502 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18957MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pontotoc Health Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC Emergency Medicine CurrentSince Aug 15, 2020 Accepting new patients
Relias Emergency Medicine Specialists of St Dominic LLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Relias Emergency Medicine Specialists of McComb, LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Webster Health Services, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Webster Health Services, Inc. CurrentSince Apr 1, 2020 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Jul 5, 2014 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC PastSince Oct 22, 2019 Accepting new patients
Relias Hospitalist Medicine Specialists of Tupelo LLC PastSince May 10, 2022 Accepting new patients
North Ms Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

70 Medical Plz
Eupora, MS 39744
Phone (662) 258-6221

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: russellknight@nmhs.medalliesdirect.net

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730123142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CHERRY BARK DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390479519",
            "telephone_number": "866-754-3852",
            "fax_number": "205-313-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "866-754-3852",
            "fax_number": "205-313-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "RUSSELL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "18957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.