Diane Kay Russo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005940 Issued in GA

Practice address

1475 Terrell Mill Rd SE
Suite 108
Marietta, GA 30067-6049

Phone

(770) 984-2813

Fax

(770) 984-9416

NPI assigned

Jan 4, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Metro Healthcare Solutions LLC

  • Health Maintenance Organization
  • Marietta, GA
  • NPI 1760851802
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871640490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 TERRELL MILL RD SE",
            "address_2": "SUITE 108",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676049",
            "telephone_number": "770-984-2813",
            "fax_number": "770-984-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 TERRELL MILL RD SE",
            "address_2": "SUITE 108",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676049",
            "telephone_number": "770-984-2813",
            "fax_number": "770-984-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "DIANE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg E Russell, OD
• Irving Russell, D.C.
• Lonnie Nicholas Russell, MD
• Susan F Russell, PHD,THD, L.AC.,LMSW
• Chloe Lan Russo, MD
• Joann Russo, CRNA
• Roberta Russo, CSW008127
• Ruth'S Place Community Home
• Kenneth A Rutledge, MD
• Sherri M. Rutledge, CRNA

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.