Sandra G Russell (NPI# 1932219581, PAC ID# 2769483965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932219581 |
| PAC ID by PECOS | 2769483965 |
| Professional Enrollment ID | I20070130000443 |
| Full Name | Sandra G Russell |
| Organization Legal Name | HATTIESBURG CLINIC PA |
| Address |
511 W Laurel Ave Downtown Medical Associates Hattiesburg MS 39401-3504 |
| Phone Number | 6015441261 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193706794 |
| Number of Group Practice Members | 463 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 415 S 28th Ave, Hattiesburg, MS 39401-7246 | HATTIESBURG CLINIC PA | |
| 415 S 28th Ave Fl, Hattiesburg, MS 39401-7246 | 6012646000 | HATTIESBURG CLINIC PA |
| 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 | 6015441261 | HATTIESBURG CLINIC PA |
| 15 Pumping Station Rd, Petal, MS 39465-8325 | 6015831559 | HATTIESBURG CLINIC PA |
| Organization Legal Name | HATTIESBURG CLINIC PA |
| Physicians | 430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandie Delane Bennett | Physical Therapy | Hattiesburg Clinic Pa | 1238 Hwy 42, Sumrall, MS 39482-9519 |
| Kabeer Burman | Hospitalist | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg Clinic Department of Neurosurgery, Hattiesburg, MS 39401-7246 |
| James G Powell | Endocrinology | Hattiesburg Clinic Pa | 421 S 28th Ave, Hattiesburg, MS 39401-7206 |
| Darvin L Sibley | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Rebecca W Lauderdale | Internal Medicine | Hattiesburg Clinic Pa | 7 Medical Blvd, Hattiesburg, MS 39401-7231 |
| Philip B Mellen | Internal Medicine | Hattiesburg Clinic Pa | 10 Medical Blvd, Hattiesburg, MS 39401-7230 |
| Ralph C Kahler | Internal Medicine | Hattiesburg Clinic Pa | 415 S 28th Ave Fl, Hattiesburg, MS 39401-7246 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Mohammad Ik Anindo | Hospitalist | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Victor Polito | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Street Address |
511 W LAUREL AVE DOWNTOWN MEDICAL ASSOCIATES |
| City | HATTIESBURG |
| State | MS |
| Zip | 39401-3504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akwasi A Amponsah | Internal Medicine | 2503 Glendale Ave, Hattiesburg, MS 39401-1073 | |
| Brad H Massey | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Judy Skaggs | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Ann A Williams | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Lisa E Herrington Forsyth | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Gary Lynn Lett | Chiropractic | 1509 Hardy St, Hattiesburg, MS 39401-4906 | |
| Julie D Paterson | Clinical Social Worker | 1003 W Pine St, Hattiesburg, MS 39401-5049 | |
| Kelechi N Emereonye | Psychiatry | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Shelley Mckenzie | Clinical Social Worker | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Richard W George | Nurse Practitioner | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Find all physicians in zip 39401 | |||
| City | HATTIESBURG |
| Zip Code | 39401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HATTIESBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra G Russell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.