DR. SUSAN F RUSSELL (NPI# 1558644617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558644617 |
| Entity Type | Individual |
| Full Name | DR. SUSAN F RUSSELL |
| Credential | PHD,THD, L.AC.,LMSW |
| Practice Address |
4343 Shallowford Rd Suite H-5 Marietta GA 30062-5023 |
| Practice Telephone | 7705524155 |
| Practice Fax Number | 7705524275 |
| Mailing Telephone | 7705524155 |
| Mailing Fax Number | 7705524275 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
001798 LMSW | GA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
1798 LMSW | GA | Behavioral Health & Social Service Providers |
| Y | 171100000X | Acupuncturist | 87 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184045379 | Susan Elizabeth Russell | Counselor | 201 Maple St, East Jordan, MI 49727-9620 | 2013-12-15 |
| 1477806396 | Susan Kay Russell | Licensed Practical Nurse | 913 W Holmes Rd Ste 189, Lansing, MI 48910-0434 | 2012-10-16 |
| 1083895296 | Susan Payne Russell | Social Worker | 1085 Tunnel Road, Suite#3, Asheville, NC 28805-2039 | 2007-11-15 |
| 1235348137 | Susan Marie Russell | Counselor | 4018 Medina Rd Ste D, Medina, OH 44256-9675 | 2007-05-21 |
| 1811000441 | Susan Ann Russell | Pharmacist | I-40, Exit 102, San Fidel, NM 87049 | 2006-08-17 |
| 1194733618 | Susan M. Russell | Speech-Language Pathologist | 10749 E 29th Pl, Tulsa, OK 74129-7805 | 2006-08-03 |
| 1134501810 | Susan Hallie Russell | Counselor | 5855 Executive Center Dr Ste 104, Charlotte, NC 28212-8880 | 2015-06-18 |
| 1245486331 | Susan Renee Russell | Internal Medicine | 675 N Saint Clair St, Suite 18-250, Chicago, IL 60611-5975 | 2008-08-08 |
| 1477717577 | Susan C Russell | Counselor | 175 W B St Ste I, Springfield, OR 97477-4575 | 2008-07-17 |
| 1487793907 | Susan M. Russell | Counselor | 319 Union St, Bangor, ME 04401-4607 | 2007-02-05 |
| Street Address |
4343 SHALLOWFORD RD SUITE H-5 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336173541 | David Glenn Markwell | Counselor | 4343 Shallowford Rd, Suite C 2, Marietta, GA 30062-5023 | 2006-07-11 |
| 1659910255 | Ann Monroe Tuemler | Occupational Therapist | 4343 Shallowford Rd, Bldg H Suite 4-b, Marietta, GA 30062-5023 | 2019-12-30 |
| 1528533379 | Madonna Beth Mezzanotte | Counselor | 4343 Shallowford Rd, Marietta, GA 30062-5023 | 2018-10-08 |
| 1356886410 | Kimberly Brooke Markwell | Counselor | 4343 Shallowford Rd, Suite C2, Marietta, GA 30062-5023 | 2016-12-28 |
| 1417400375 | Viviane Hens | Counselor | 4343 Shallowford Rd, Marietta, GA 30062-5023 | 2016-07-27 |
| 1659744829 | Abundant Life Counseling | Community/Behavioral Health | 4343 Shallowford Rd, Building C2, Marietta, GA 30062-5023 | 2015-11-09 |
| 1023492758 | Comprehensive Counseling and Therapy,llc | Community/Behavioral Health | 4343 Shallowford Rd, Suite C2, Marietta, GA 30062-5023 | 2015-07-13 |
| 1306256664 | Meadow Cove Counseling, LLC | Community/Behavioral Health | 4343 Shallowford Rd, Suite E-1, Marietta, GA 30062-5023 | 2014-05-07 |
| 1588081541 | Journey To Hope, LLC | Community/Behavioral Health | 4343 Shallowford Rd, Suite E-1, Marietta, GA 30062-5023 | 2014-03-27 |
| 1114365400 | Valerie Schwan | Counselor | 4343 Shallowford Rd, Suite 2, Marietta, GA 30062-5023 | 2013-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454727 | Tram-huong Gebreyesus | Acupuncturist | 3600 Dallas Hwy Sw Ste 170, Marietta, GA 30064-1696 | 2020-03-30 |
| 1548775448 | Jean Brannon | Acupuncturist | 1050 E Piedmont Rd Ste 150, Marietta, GA 30062-0903 | 2017-12-13 |
| 1740668078 | Li Hua Shu | Acupuncturist | 3535 Roswell Rd Ste 37, Marietta, GA 30062-8829 | 2015-05-06 |
| 1568733582 | Taian Wang | Acupuncturist | 2324 N Forest Dr, Marietta, GA 30062-6511 | 2012-01-23 |
| 1982110987 | Brian Joseph Hornburg | Acupuncturist | 62 Shawnee Trl Se, Marietta, GA 30067-7316 | 2017-12-28 |
| 1184908055 | Shijun Li | Acupuncturist | 1230 Johnson Ferry Pl, Bldg 2, Ste I-40, Marietta, GA 30068-2048 | 2011-10-10 |
| 1235375858 | Susquehanna Acupuncture and Healing Arts Center | Acupuncturist | 44 W Market St, Marietta, PA 17547-1424 | 2009-01-02 |
| 1851410484 | Isabella Middleton | Acupuncturist | 4343 Shallowford Rd, Suite B7a, Marietta, GA 30062-5023 | 2007-03-28 |
| 1679692024 | Joseph A Lavine | Acupuncturist | 44 W Market St, Marietta, PA 17547-1424 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125094 | Element Acupuncture Inc. | Acupuncturist | 5441 Buford Hwy Ne Ste 203-204, Doraville, GA 30340-1124 | 2020-05-12 |
| 1235750282 | Dr Cho Acupuncture Clinic LLC | Acupuncturist | 2915 Professional Pkwy Ste D, Augusta, GA 30907-6521 | 2020-04-30 |
| 1548891575 | Coastal Acupuncture | Acupuncturist | 405 W Main St Ste C, Thomaston, GA 30286-3560 | 2020-01-29 |
| 1265062889 | Hidden Well Acupuncture Inc. | Acupuncturist | 134 Houston St, Savannah, GA 31401-3530 | 2020-01-23 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1326686247 | Yiqiang Zhou | Acupuncturist | 3540 Wheeler Rd Ste 505, Augusta, GA 30909-1890 | 2019-12-11 |
| 1801439195 | Fuzi Gao | Acupuncturist | 2645 N Berkeley Lake Rd Nw Ste 133, Duluth, GA 30096-1461 | 2019-10-19 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1972155786 | Lori Marie Brown | Acupuncturist | 50 Aviator Plz Ste 102, Saint Simons Island, GA 31522-0140 | 2019-07-11 |
| 1831758960 | Edwin Uribe | Acupuncturist | 154 W Belle Isle Rd, Sandy Springs, GA 30342-2536 | 2019-06-12 |
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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.