MR. RUSSELL JOHNSON
NPI 1447205554
Specialist in Petersburg, VA

Active since May 24, 2006PECOS Enrolled
601 OLD WAGNER RD, SUITE 101, PETERSBURG, VA 23805(804) 524-2260(804) 524-0096 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Russell Johnson NPPES

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

MR. RUSSELL JOHNSON (NPI 1447205554) is an individual specialist in Petersburg, Virginia, licensed in Virginia (0101045410) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447205554
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. RUSSELL JOHNSON
Location Address601 OLD WAGNER RD, SUITE 101Petersburg, VA 23805-9313
Mailing Address601 Old Wagner Rd, Suite 101Petersburg, VA 23805-9313 · (804) 524-2260 · Fax (804) 524-0096
Fax(804) 524-0096
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 7, 2016
NPI 1447205554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in VA · 0101045410
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
601 OLD WAGNER RD, Petersburg, VA 23805

Other Identifiers 1

Other194501VA · Anthem

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Russell Johnson 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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
143 services117 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
80 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
43 services43 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services32 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
12 services12 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$40.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Pulmonary Disease)
601 OLD WAGNER RD, SUITE 101
PETERSBURG, VA 23805
Internal Medicine (Pulmonary Disease)
601 OLD WAGNER RD, SUITE 101
PETERSBURG, VA 23805
Anesthesiology (Pain Medicine)
601 OLD WAGNER RD, UNIT 100
PETERSBURG, VA 23805
Internal Medicine (Gastroenterology)
601 OLD WAGNER RD, SUITE 100
PETERSBURG, VA 23805
Psychiatry & Neurology (Neurology)
601 OLD WAGNER RD, SUITE 101
PETERSBURG, VA 23805
Internal Medicine (Pulmonary Disease)
601 OLD WAGNER RD, SUITE 102
PETERSBURG, VA 23805
Anesthesiology (Pain Medicine)
601 OLD WAGNER RD
PETERSBURG, VA 23805
Podiatrist (Foot & Ankle Surgery)
601 OLD WAGNER RD
PETERSBURG, VA 23805

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 Russell Johnson's NPI number?

The NPI number for Russell Johnson is 1447205554. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Russell Johnson located?

Russell Johnson practices at 601 Old Wagner Rd Suite 101, Petersburg, VA 23805. The listed phone number is (804) 524-2260.

What is Russell Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Russell Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Russell Johnson was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.