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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RAEDEEN S RUSSELL PHD
NPI 1386316271
Family Medicine in Commerce, GA

Active since September 29, 2021
112 BANKS RD STE 1, COMMERCE, GA 30529(706) 677-4568 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Sep 29, 2021 (2 updates tracked since 2021).

About Dr. Raedeen S Russell Phd NPPES

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

DR. RAEDEEN S RUSSELL PHD (NPI 1386316271) is an individual family medicine provider in Commerce, Georgia, licensed in Georgia (113798) and active in the NPI registry since September 2021. She maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1386316271
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAEDEEN S RUSSELLCredential: PHD
Location Address112 BANKS RD STE 1Commerce, GA 30529-6300
Mailing Address720 Westview Dr SwAtlanta, GA 30310-1458 · (404) 752-1500
Phone(706) 677-4568
Sole ProprietorNo
Enumeration DateSeptember 29, 2021
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1386316271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 113798
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
112 BANKS RD STE 1, Commerce, GA 30529
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Secondary Practice Location 1

Location 1720 Westview Dr SWAtlanta, GA 30310-1458 · Phone (404) 752-1500

Other Providers at the Same Location NPPES 5

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

KARI TATUM
Nurse Practitioner (Family)
112 BANKS RD STE 1
COMMERCE, GA 30529
Jackson County (706) 677-4568
CLAYTON DANIEL REID FNP-C
Nurse Practitioner (Family)
112 BANKS RD STE 1
COMMERCE, GA 30529
Jackson County (706) 677-4568
SARA CHAPPELL CLOUGH
Nurse Practitioner (Family)
112 BANKS RD STE 1
COMMERCE, GA 30529
Jackson County (706) 677-4568
PALOMA VEGA MS, RD, LD
Dietitian, Registered
112 BANKS RD STE 1
COMMERCE, GA 30529
Jackson County (706) 677-4568
JENNIFER KAY RUBNER CPNP-PC
Nurse Practitioner (Pediatrics)
112 BANKS RD STE 1
COMMERCE, GA 30529
Jackson County (706) 677-4568

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 Raedeen Russell's NPI number?

The NPI number for Raedeen Russell is 1386316271. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Raedeen Russell located?

Raedeen Russell practices at 112 Banks Rd Ste 1, Commerce, GA 30529. The listed phone number is (706) 677-4568.

What is Raedeen Russell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Raedeen Russell was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.