RUSSELL J GROSS MD
NPI 1548228588
Surgery - Vascular Surgery in Covington, TN

Active since May 01, 2006
1995 HIGHWAY 51 S, SUITE 203, COVINGTON, TN 38019(901) 475-5422(901) 475-5595 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell J Gross Md NPPES

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

RUSSELL J GROSS MD (NPI 1548228588) is an individual vascular surgery provider in Covington, Tennessee, licensed in Tennessee (40003) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1548228588
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameRUSSELL J GROSSCredential: MD
Location Address1995 HIGHWAY 51 S, SUITE 203Covington, TN 38019-3635
Mailing Address965 Ridge Lake Blvd, Suite 103Memphis, TN 38120-9401 · (901) 227-4068 · Fax (901) 227-8591
Fax(901) 475-5595
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateJanuary 29, 2014
NPI 1548228588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in TN · 40003
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License A31869 (CA), 31869 (CA)
1995 HIGHWAY 51 S, Covington, TN 38019

Other Identifiers 7

Medicaid1507224TN
Medicare PIN33352371TN
Medicare PIN103I028175TN
Medicare UPIND38486
Other0989653Cigna
Other4167965TN · Bcbs Tn
Other42359TN · Medicaid Tlc

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.

Family Medicine
1995 HIGHWAY 51 S, SUITE 101
COVINGTON, TN 38019
Nurse Anesthetist, Certified Registered
1995 HIGHWAY 51 S
COVINGTON, TN 38019
Pharmacy (Community/Retail Pharmacy)
1995 HIGHWAY 51 S
COVINGTON, TN 38019
Obstetrics & Gynecology
1995 HIGHWAY 51 S, SUITE 112
COVINGTON, TN 38019
Nurse Practitioner (Family)
1995 HIGHWAY 51 S
COVINGTON, TN 38019
Family Medicine
1995 HIGHWAY 51 S
COVINGTON, TN 38019
Internal Medicine (Cardiovascular Disease)
1995 HIGHWAY 51 S, STE 208
COVINGTON, TN 38019
Internal Medicine
1995 HIGHWAY 51 S, SUITE 111
COVINGTON, TN 38019

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 Gross's NPI number?

The NPI number for Russell Gross is 1548228588. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Russell Gross located?

Russell Gross practices at 1995 Highway 51 S Suite 203, Covington, TN 38019. The listed phone number is (901) 475-5422.

What is Russell Gross's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Russell Gross was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.