James Shepherd Russell IV, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

83129 Issued in SC

Practice address

4301 W Markham St # 543
Little Rock, AR 72205-7101

Phone

(501) 686-5356

NPI assigned

Apr 13, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Otolaryngology

Education

University of Arkansas College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston ENT Associates, LLCGroup PAC ID 4082662234, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
• Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
• Candler Hospital Hospital, Savannah, GA, CCN 110024

Merit-based Incentive Payment System (MIPS)

Final score

92.33 of 100Reported as group

Quality

86.06

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.russelliv.p1@direct.entap.nextgenshare.com
• Direct secure messaging: j.russelliv.p2@direct.entap.nextgenshare.com

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.

• Charleston ENT Associates, LLC

  • Otolaryngology Physician
  • Charleston, SC
  • NPI 1588607303

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Charleston ENT Associates, LLC

  • Ambulatory Surgical Clinic/Center
  • Charleston, SC
  • NPI 1124026422
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation
• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation
• Hilton Head Medical Center LLC

  • General Acute Care Hospital
  • Hilton Head Island, SC
  • NPI 1902675101
  Care Compare affiliation
• South Carolina Coastal Medical Center LLC

  • General Acute Care Hospital
  • Hardeeville, SC
  • NPI 1205605409
  Care Compare affiliation

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1801282231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 543",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 543",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JAMES",
        "middle_name": "SHEPHERD",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "83129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Russell, MSPT
• Denise Russell
• Glennae Russell
• Harrison Russell
• Ida Alicia Russell, ATC
• Jared Russell, RPH
• Jeffrey C. Russell, CRNA
• Jillian Russell, LCSW
• Katherine Russell, MHPP
• Kimwonyanna Russell

• Otolaryngology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Otolaryngology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.

Verify at the official NPI Registry.