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LAUREN H RUSSELL PA-C
NPI 1023633799
Physician Assistant - Medical in Smyrna, GA

Active since June 09, 2020PECOS Enrolled
3903 S COBB DR SE STE 200, SMYRNA, GA 30080(770) 435-3214 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lauren H Russell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN H RUSSELL PA-C (NPI 1023633799) is an individual medical provider in Smyrna, Georgia, licensed in Georgia (9747) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1023633799
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAUREN H RUSSELLCredential: PA-C
Location Address3903 S COBB DR SE STE 200Smyrna, GA 30080-6301
Mailing Address3903 S Cobb Dr Se Ste 200Smyrna, GA 30080-6301 · (770) 435-3214
Phone(770) 435-3214
Sole ProprietorNo
Enumeration DateJune 9, 2020
Last NPPES UpdateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1023633799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 9747
Also ListedPhysician AssistantTaxonomy 363A00000X · License 9747 (GA)
3903 S COBB DR SE STE 200, Smyrna, GA 30080
Open in Google Maps ↗

Secondary Practice Location 1

Location 112614 Sandburg LnKnoxville, TN 37922-6725 · Phone (478) 955-8316

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren H Russell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAR LIN PA-C
Physician Assistant (Medical)
3903 S COBB DR SE STE 200
SMYRNA, GA 30080
Cobb County (770) 628-1367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Russell's NPI number?

The NPI number for Lauren Russell is 1023633799. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Lauren Russell located?

Lauren Russell practices at 3903 S Cobb Dr SE Ste 200, Smyrna, GA 30080. The listed phone number is (770) 435-3214.

What is Lauren Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lauren Russell enrolled in Medicare?

Yes. Lauren Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Russell was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.