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DR. WILSON GLOVER RUSSELL MD
NPI 1679549885
Pathology - Anatomic Pathology & Clinical Pathology in Winston-salem, NC

Active since February 27, 2006PECOS Enrolled
3333 SILAS CREEK PKWY, WINSTON-SALEM, NC 27103(336) 718-5856(336) 718-9259 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Wilson Glover Russell Md NPPES

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

DR. WILSON GLOVER RUSSELL MD (NPI 1679549885) is an individual anatomic pathology & clinical pathology provider in Winston-salem, North Carolina, licensed in North Carolina (24810) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679549885
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. WILSON GLOVER RUSSELLCredential: MD
Location Address3333 SILAS CREEK PKWYWinston-salem, NC 27103-3013
Mailing AddressPo Box 30369Winston Salem, NC 27130-0369 · (336) 718-5856 · Fax (336) 718-9259
Phone(336) 718-5856
Fax(336) 718-9259
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1679549885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NC · 24810
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3333 SILAS CREEK PKWY, Winston-salem, NC 27103
Open in Google Maps ↗

Other Identifiers 6

Other74049NC · Bcbs
Medicare UPINC82498
Medicaid8974049NC
Medicare PIN213496CNC
Medicare PIN220021976NC
Medicare PIN213496ANC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wilson Glover Russell Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

BROOKE WILLIAMS DO
Hospitalist
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-8383
BONNIE LYNN GAUDIN PA
Physician Assistant (Medical)
3333 SILAS CREEK PKWY, EMERGENCY DEPARTMENT
WINSTON SALEM, NC 27103
Forsyth County (336) 275-3325
RALPH DENTON UPDYKE JR. PA
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7041
DR. DENNIS WARREN ROSS MD
Pathology (Hematology)
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103
Forsyth County (336) 718-3737
MR. KYLE TIMOTHY ROBERTS PA
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7080
JUAN CARLOS VARELA M.D., PHD
Internal Medicine (Hematology)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-5570
DR. MARIE HUFFMASTER THOMAS FNP-C
Nurse Practitioner (Family)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-5000
DEBORAH KRIST POTTICARY
Nurse Practitioner
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7041

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 Wilson Russell's NPI number?

The NPI number for Wilson Russell is 1679549885. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Wilson Russell located?

Wilson Russell practices at 3333 Silas Creek Pkwy, Winston-Salem, NC 27103. The listed phone number is (336) 718-5856.

What is Wilson Russell's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Wilson Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Wilson Russell was last updated on September 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.