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KAZI SHAHRIAR RUSSELL DO
NPI 1487221917
Internal Medicine in Ball Ground, GA

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment
8111 BALL GROUND HWY, BALL GROUND, GA 30107(770) 268-4011(470) 251-6053 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2025, Dec 3, 2024, Jun 3, 2021 (3 updates tracked since 2021).

About Kazi Shahriar Russell Do NPPES

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

KAZI SHAHRIAR RUSSELL DO (NPI 1487221917) is an individual internal medicine provider in Ball Ground, Georgia, licensed in Georgia (100836) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Piedmont Mountainside Hospital Inc, and is a graduate of Michigan State University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1487221917
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKAZI SHAHRIAR RUSSELLCredential: DO
Location Address8111 BALL GROUND HWYBall Ground, GA 30107-3936
Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116 · Fax (770) 955-4278
Phone(770) 268-4011
Fax(470) 251-6053
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2021
Enumeration DateJune 3, 2021
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1487221917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 100836✔ Licensed in MI · 5151015222APP21
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8111 BALL GROUND HWY, Ball Ground, GA 30107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kazi Shahriar Russell Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577091438
PECOS Enrollment IDI20250107000697
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.

Medicare Billing Reassignment

Medicare enrollment records show Kazi Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aylo Health, LLC
31 mi
Family Medicine
3333 RIVERWOOD PKWY SE STE 250
Atlanta, GA 30339
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
NPI 1013018811 (770) 914-0116

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AYLO HEALTH, LLC
Family Medicine
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Cherokee County (770) 268-4315
MR. CHEYNE ANDREW ROBERTS APRN
Nurse Practitioner (Family)
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Cherokee County (770) 268-4011
MRS. MELISSA BETH HARLACHER MSN, APRN, NP-C
Nurse Practitioner (Family)
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Cherokee County (770) 268-4011
MANASA VASIREDDY MD
Internal Medicine
8111 BALL GROUND HWY
BALLGROUND, GA 30107
Cherokee County (770) 268-4315
DORENE EBANGHA ETAROCK FNP-C
Nurse Practitioner (Family)
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Cherokee County (770) 268-4011
SONYA MABRY FNP-C
Nurse Practitioner (Family)
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Cherokee County (770) 268-4011
REBECCA LYNN RAMSEY NP-C
Nurse Practitioner (Family)
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Cherokee County (770) 268-4011

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 Kazi Russell's NPI number?

The NPI number for Kazi Russell is 1487221917. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Kazi Russell located?

Kazi Russell practices at 8111 Ball Ground Hwy, Ball Ground, GA 30107. The listed phone number is (770) 268-4011.

What is Kazi Russell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kazi Russell enrolled in Medicare?

Yes. Kazi Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kazi Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kazi Russell reassigns Medicare benefits to Aylo Health, LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kazi Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kazi Russell affiliated with any hospitals?

According to CMS data, Kazi Russell is affiliated with Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kazi Russell was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.