Lori Russell, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1198 Issued in TN

Practice address

100 Hunters LN
Suite 100
Tullahoma, TN 37388-8263

Phone

(931) 455-4616

Fax

(931) 455-2362

NPI assigned

May 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lori Neal Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Care Home health agency, Winchester, TN, CCN 447238
• Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
• Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144
• Vanderbilt Bedford Hospital Hospital, Shelbyville, TN, CCN 440137

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Family Practice Center of Tullahoma LLC

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1275796880

  TN

  Medicare reassignment
• Lynchburg Medical Clinic, LLC

  • Family Medicine Physician
  • Lynchburg, TN
  • NPI 1982949434

  TN

  Medicare reassignment
• Robert R Yasui

  • Rural Health Clinic/Center
  • Lynchburg, TN
  • NPI 1306811880
  NPD (past)

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

• Adoration Home Health, LLC

  • Home Health Agency
  • Madison, TN
  • NPI 1790161321
  Care Compare affiliation
• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Winchester, TN
  • NPI 1730137415
  Care Compare affiliation
• Vanderbilt Bedford Hospital, LLC

  • General Acute Care Hospital
  • Shelbyville, TN
  • NPI 1487253449

  Hospital

  Care Compare affiliation
• Vanderbilt Coffee Hospital, LLC

  • General Acute Care Hospital
  • Tullahoma, TN
  • NPI 1831798719

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1891798377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUNTERS LN",
            "address_2": "SUITE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888263",
            "telephone_number": "931-455-4616",
            "fax_number": "931-455-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HUNTERS LN",
            "address_2": "SUITE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888263",
            "telephone_number": "931-455-4616",
            "fax_number": "931-455-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LORI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "NEAL",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vallerie Annesther Rose, RN
• Janice Ross
• Shawn P. Ross, CRNA
• Charla Nicole Ruble, BA
• Alexis K Russell, SLP-CCC
• Michael G Rutherford, DDS
• Christopher P. Rynd
• Cherrie A Sage, B.S.
• Bailey Elizabeth Sanders, LAT, ATC
• Deborah Rose Sanders, MSN CRNP

• All providers in Tullahoma, TN
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.