RUSSELL LEE CARLISLE DO
NPI 1689263717
Family Medicine in Wesson, MS

Active since January 13, 2021
10058 SYLVARENA RD, WESSON, MS 39191(601) 757-5791 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell Lee Carlisle Do NPPES

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

RUSSELL LEE CARLISLE DO (NPI 1689263717) is an individual family medicine provider in Wesson, Mississippi, licensed in Mississippi (15093) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1689263717
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRUSSELL LEE CARLISLECredential: DO
Location Address10058 SYLVARENA RDWesson, MS 39191-9055
Mailing Address930 High Willow DrProsper, TX 75078-8322 · (601) 757-5791
Sole ProprietorYes
Enumeration DateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
NPI 1689263717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 15093
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10058 SYLVARENA RD, Wesson, MS 39191

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 Carlisle's NPI number?

The NPI number for Russell Carlisle is 1689263717. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Where is Russell Carlisle located?

Russell Carlisle practices at 10058 Sylvarena Rd, Wesson, MS 39191. The listed phone number is (601) 757-5791.

What is Russell Carlisle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Russell Carlisle was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.