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KATHERINE RUSSO
NPI 1326734732
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 18, 2023PECOS Enrolled
1364 CLIFTON RD NE STE H-100, ATLANTA, GA 30322(404) 727-4310 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Russo NPPES

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

KATHERINE RUSSO (NPI 1326734732) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326734732
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHERINE RUSSO
Location Address1364 CLIFTON RD NE STE H-100Atlanta, GA 30322-1059
Mailing Address1364 Clifton Rd Ne Ste H-100Atlanta, GA 30322-1059
Phone(404) 727-4310
Sole ProprietorNo
Enumeration DateApril 18, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1326734732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1364 CLIFTON RD NE STE H-100, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Russo 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 6

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

EVAN STRAUB
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE H-100
ATLANTA, GA 30322
Dekalb County (404) 727-0093
DR. MUSTAFA ADAM KHADER MD
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE H-100
ATLANTA, GA 30322
Dekalb County (404) 727-4310
KATHERINE ORTMEYER
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE H-100
ATLANTA, GA 30322
Dekalb County (404) 712-2262
DR. SHUBHAM LAHAN MD
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE H-100
ATLANTA, GA 30322
Dekalb County (404) 727-4310
DOMINIQUE CATENA MD
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE H-100
ATLANTA, GA 30322
Dekalb County (404) 727-4310
HILARY RAGIN JESSUP
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE H-100
ATLANTA, GA 30322
Dekalb County (404) 727-4310

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 Katherine Russo's NPI number?

The NPI number for Katherine Russo is 1326734732. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Katherine Russo located?

Katherine Russo practices at 1364 Clifton Rd NE Ste H-100, Atlanta, GA 30322. The listed phone number is (404) 727-4310.

What is Katherine Russo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katherine Russo enrolled in Medicare?

Yes. Katherine Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Russo was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.