DR. JAMES D RUSSELL II (NPI# 1396945572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396945572 |
Entity Type | Individual |
Full Name | DR. JAMES D RUSSELL II |
Credential | PSYD |
Practice Address |
700 Beaver Ruin Rd Nw Ste F Lilburn GA 30047-3406 |
Practice Telephone | 6783183468 |
Practice Fax Number | 7709258059 |
Mailing Telephone | 6783183468 |
Mailing Fax Number | 7709258059 |
Enumeration Date | 2007-07-24 |
Last Update Date | 2007-07-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY2884 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124351937 | James Russell | Optometrist | 2478 Burnsed Blvd # 466-a, The Villages, FL 32163-2702 | 2009-09-10 |
1073755971 | James Miller Russell | Psychiatry & Neurology | 141 Sw Wright Ave, Portland, OR 97205-5865 | 2009-03-24 |
1063660926 | James Russell | Counselor | 1090 S Vulture Mine Rd, Wickenburg, AZ 85390-3145 | 2008-09-04 |
1689790636 | James Michael Russell | Family Medicine | 6300 Troon Rd, Fort Worth, TX 76132-4426 | 2007-03-21 |
1649331232 | James Edward Russell | Neuromusculoskeletal Medicine, Sports Medicine | 2113 Hunters Wood Ln, Lexington, KY 40502-3066 | 2006-12-13 |
1831276476 | James D Russell | Physician Assistant | 2318 Pat Booker Rd, Universal City, TX 78148-3229 | 2006-11-01 |
1821182825 | James Patrick Russell | Chiropractor | 6137 County Road 32, Norwich, NY 13815-3302 | 2006-10-03 |
1326142951 | James Thaddeus Russell | Psychologist | 1131 S Morrison Blvd, Va Outpatient Clinic, Hammond, LA 70403 | 2006-09-12 |
1265471445 | James Russell Jr. | Nurse Practitioner | 400 Sw 14th Ave Ste 100, Amarillo, TX 79101-4140 | 2006-06-05 |
1588634026 | James A Russell | Specialist | 3902 Killington Rd, Killington, VT 05751 | 2006-01-26 |
Street Address |
700 BEAVER RUIN RD NW STE F |
City | LILBURN |
State | GA |
Zip Code | 30047-3406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700070406 | Maria Carmen Santana | Psychologist | 700 Beaver Ruin Rd Nw Ste F, Lilburn, GA 30047-3406 | 2007-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
Find all providers in zip 30047 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447476437 | Konnie A Torbahn | Psychologist | 73 Planters Dr Sw, Lilburn, GA 30047-5180 | 2007-04-18 |
1932249117 | Arlene Noriega | Psychologist | 700 Beaver Ruin Rd Nw, Suite F, Lilburn, GA 30047-3404 | 2007-02-07 |
1629144183 | Donald Lee Davidson | Psychologist | 620 Hillcrest Rd Nw, Suite 300, Lilburn, GA 30047-1709 | 2006-11-27 |
1750538385 | Ginny Kington | Psychologist | 700 Beaver Ruin Rd Nw, Suite F, Lilburn, GA 30047-3404 | 2008-08-26 |
1639206394 | Donna Renee Ussery | Psychologist | 700 Beaver Ruin Rd Nw, Suite F, Lilburn, GA 30047-3404 | 2007-02-28 |
1487705091 | Gracepoint Counseling Associates | Psychologist | 620 Hillcrest Rd Nw, Suite 300, Lilburn, GA 30047-6892 | 2007-01-12 |
1407914773 | Michael James Brissett | Psychologist | 620 Hillcrest Rd Nw, Suite 300, Lilburn, GA 30047-1709 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
1588261945 | Raven Evans | Psychologist | 1800 Lake Park Dr Se Ste 123, Smyrna, GA 30080-7639 | 2020-10-07 |
1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
1932721784 | Essential Counseling & Consulting, Inc | Psychologist | 2800 Old Spanish Trl, College Park, GA 30349-4266 | 2020-05-15 |
1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
1336760164 | Lauren Olivia Patterson | Psychologist | 209 Thornwood Ct, Statesboro, GA 30458-0296 | 2020-05-04 |
1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.