KIM L RUSSELL PAC
NPI 1528136900
Dermatology in Atlanta, GA

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
2525 CUMBERLAND PKWY SE, DEPARTMENT OF DERMATOLOGY, ATLANTA, GA 30339(770) 431-4330(770) 431-4193 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kim L Russell Pac NPPES

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

KIM L RUSSELL PAC (NPI 1528136900) is an individual dermatology provider in Atlanta, Georgia, licensed in Georgia (002298) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1528136900
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKIM L RUSSELLCredential: PAC
Location Address2525 CUMBERLAND PKWY SE, DEPARTMENT OF DERMATOLOGYAtlanta, GA 30339-3915
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7000
Fax(770) 431-4193
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 6, 2022
✔ NPI 1528136900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 002298
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2525 CUMBERLAND PKWY SE, Atlanta, GA 30339

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim L Russell Pac 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 ID6204899222
PECOS Enrollment IDI20041110000277
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30339 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 20

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

Internal Medicine (Infectious Disease)
2525 CUMBERLAND PKWY SE, DEPARTMENT OF INFECTIOUS DISEASE
ATLANTA, GA 30339
Psychiatry & Neurology (Psychiatry)
2525 CUMBERLAND PKWY SE, KAISER PERMANENTE CUMBERLAND MEDICAL CENTER
ATLANTA, GA 30339
Internal Medicine (Rheumatology)
2525 CUMBERLAND PKWY SE, DEPARTMENT OF RHEUMATOLOGY
ATLANTA, GA 30339
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2525 CUMBERLAND PKWY SE
ATLANTA, GA 30339
Family Medicine
2525 CUMBERLAND PKWY SE, DEPARTMENT OF INTERNAL MEDICINE AFTER HOURS CARE
ATLANTA, GA 30339
Psychologist (Clinical Child & Adolescent)
2525 CUMBERLAND PKWY SE, KAISER PERMANENTE CUMBERLAND MEDICAL CENTER
ATLANTA, GA 30339
Internal Medicine
2525 CUMBERLAND PKWY SE, INTERNAL MEDICINE HEALTH CARE TEAM A
ATLANTA, GA 30339
Clinical Medical Laboratory
2525 CUMBERLAND PKWY SE
ATLANTA, GA 30339

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 Kim Russell's NPI number?

The NPI number for Kim Russell is 1528136900. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kim Russell located?

Kim Russell practices at 2525 Cumberland Pkwy SE Department Of Dermatology, Atlanta, GA 30339. The listed phone number is (770) 431-4330.

What is Kim Russell's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kim Russell enrolled in Medicare?

Yes. Kim 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.

When was this NPI record last updated?

The NPPES record for Kim Russell was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.