DR. GERALD THOMAS RUSSELL MD
NPI 1043200603
Family Medicine in Farragut, TN
About Dr. Gerald Thomas Russell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GERALD THOMAS RUSSELL MD (NPI 1043200603) is an individual family medicine provider in Farragut, Tennessee, licensed in Tennessee (MD0000012638) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gerald Thomas Russell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37934 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARRAGUT, TN 37934
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 Gerald Russell's NPI number?
The NPI number for Gerald Russell is 1043200603. It was assigned to this individual provider in the NPPES registry on October 25, 2005.
Where is Gerald Russell located?
Gerald Russell practices at 11130 Kingston Pike Suite 7&8, Farragut, TN 37934. The listed phone number is (865) 675-1953.
What is Gerald Russell's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gerald Russell enrolled in Medicare?
Yes. Gerald Russell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gerald Russell was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Gerald Thomas Russell, MD · NPI 1043200603
Family Medicine physician in Farragut, Tennessee. Individual provider, active in the CMS NPPES registry since October 25, 2005.
## Identity
- **NPI:** 1043200603 (Entity type: Individual)
- **Enumerated:** October 25, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD0000012638 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 11130 KINGSTON PIKE, SUITE 7&8, Farragut, TN 37934-2865
- **Phone:** (865) 675-1953
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 25, 2013
- **Other identifiers:** Medicare UPIN B04434; Medicare PIN 31906521 (TN); Other 3706633 (TN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1043200603) · Data from the CMS NPPES public registry.