Active NPI
Russell A Knight, M.D.
- Emergency Medicine Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18957
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18957 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of Hattiesburg LLC | Emergency Medicine | Current | Accepting new patients |
| Relias Emergency Medicine Specialists of St Dominic LLC | Emergency Medicine | Current | Accepting new patients |
| Relias Emergency Medicine Specialists of Amory, LLC | Emergency Medicine | Current | Accepting new patients |
| Relias Emergency Medicine Specialists of West Point, LLC | Emergency Medicine | Current | Accepting new patients |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of McComb, LLC | Emergency Medicine | Current | Accepting new patients |
| Relias Emergency Medicine Specialists of Tupelo LLC | Emergency Medicine | Current | Accepting new patients |
| Webster Health Services, Inc. | Current | Accepting new patients | |
| Webster Health Services, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Relias Hospitalist Medicine Specialists of Amory LLC | Past | Accepting new patients | |
| Relias Hospitalist Medicine Specialists of Tupelo LLC | Past | 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
- 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.
-
- Emergency Medicine Physician
- Amory, MS
- NPI 1265074769
Emergency Medicine, MS
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1609409440
Emergency Medicine, MS
-
- Emergency Medicine Physician
- McComb, MS
- NPI 1477195972
Emergency Medicine, MS
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1235808122
Emergency Medicine, MS
-
- Emergency Medicine Physician
- Tupelo, MS
- NPI 1841664661
Emergency Medicine, MS
-
- Emergency Medicine Physician
- West Point, MS
- NPI 1275172736
Emergency Medicine, MS
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
Emergency Medicine, MS
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Critical Access Hospital
- Pontotoc, MS
- NPI 1962512871
-
- Family Medicine Physician
- Eupora, MS
- NPI 1821881913
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.