THOMAS RUSSELL
NPI 1205354396
Counselor - Professional in Sandy Springs, GA

Active since September 08, 2017Opted out of Medicare · through Jan 1, 2028
8800 ROSWELL RD STE A135, SANDY SPRINGS, GA 30350(404) 682-1923 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Russell NPPES

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

THOMAS RUSSELL (NPI 1205354396) is an individual professional provider in Sandy Springs, Georgia, licensed in Georgia (672) and active in the NPI registry since September 2017. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1205354396
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTHOMAS RUSSELL
Location Address8800 ROSWELL RD STE A135Sandy Springs, GA 30350-1826
Mailing Address1000 Jefferson St Ste 2cLynchburg, VA 24504-1724
Sole ProprietorNo
Enumeration DateSeptember 8, 2017
NPI 1205354396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · 672
8800 ROSWELL RD STE A135, Sandy Springs, GA 30350

Other Identifiers 1

Other672GA · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Thomas Russell has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
8800 ROSWELL RD STE A135
SANDY SPRINGS, GA 30350
Social Worker (Clinical)
8800 ROSWELL RD STE A135
ATLANTA, GA 30350
Counselor (Professional)
8800 ROSWELL RD STE A135
ATLANTA, GA 30350
Counselor (Professional)
8800 ROSWELL RD STE A135
ATLANTA, GA 30350

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 Thomas Russell's NPI number?

The NPI number for Thomas Russell is 1205354396. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Thomas Russell located?

Thomas Russell practices at 8800 Roswell Rd Ste A135, Sandy Springs, GA 30350. The listed phone number is (404) 682-1923.

What is Thomas Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Thomas Russell enrolled in Medicare?

No. Thomas Russell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Thomas Russell was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.