Individual provider Active NPI

Stephen Mitchell Russ, M.D.

  • Emergency Medicine Physician
  • Albany, GA
National Provider Identifier
1760746168
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
73805 Issued in GA
Practice address
417 W 3Rd Ave
Albany, GA 31701-1943
Phone
(770) 655-1715
Fax
(770) 655-1715
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LL34649 SC
Emergency Medicine Physician 207P00000X V3523 TX
Emergency Medicine Physician 207P00000X MD28649 ME
Emergency Medicine Physician 207P00000X 73805 GA Primary

Addresses

Primary practice location

417 W 3Rd Ave
Albany, GA 31701-1943

Mailing address

PO Box 71363
Albany, GA 31708-1363
Phone (770) 655-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, ME, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150706001685 GA Practitioner - Emergency Medicine 8527280163 Reassigns benefits to 2 organizations
I20241029001243 ME Practitioner - Emergency Medicine 8527280163 Reassigns benefits to 4 organizations
I20250729003686 TX Practitioner - Emergency Medicine 8527280163 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Sound Physicians Emergency Medicine of Texas PLLCGroup PAC ID 9739449802, 112 clinicians
Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians

Practice addresses (Care Compare)

100 E Alton Gloor Blvd
Valley Regional Medical Center
Brownsville, TX 78526-3328
Phone (956) 350-7000

2201 Clear Creek Rd
Killeen, TX 76549-4110
Phone (254) 526-7523

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-5646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73805GAMDEmergency Medicine Physician
MD28649MEMDEmergency Medicine Physician
LL34649SCMDEmergency Medicine Physician
V3523TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince Oct 7, 2024 Accepting new patients
Bridgton Hospital CurrentSince Oct 24, 2024 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC Emergency Medicine CurrentSince Apr 24, 2025 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Oct 10, 2025 Accepting new patients
Bridgton Hospital CurrentSince Oct 24, 2024 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jun 1, 2015 Accepting new patients
Central Maine Medical Center CurrentSince Oct 7, 2024 Accepting new patients
Phoebe Worth Medical Center, Inc CurrentSince Dec 1, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Rumford Hospital CurrentSince Oct 7, 2024 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jun 1, 2015 Accepting new patients
Phoebe Worth Medical Center, Inc CurrentSince Dec 1, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Oct 7, 2024 Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Emergency Medicine Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

1014 W Franklin St
Sylvester, GA 31791
Phone (229) 776-2965

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 16

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 16

Hospital & facility affiliations 5

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1760746168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71363",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317081363",
            "telephone_number": "770-655-1715",
            "fax_number": "770-655-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011943",
            "telephone_number": "770-655-1715",
            "fax_number": "770-655-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "STEPHEN",
        "middle_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL34649",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V3523",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD28649",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "73805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.