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ZACHARY RUSSELL ATC, LAT, CSCS, OTC
NPI 1750753182
Orthopaedic Surgery - Sports Medicine in Watkinsville, GA

Active since October 26, 2015
1305 JENNINGS MILL ROAD, BUILDING 300, SUITE 110, WATKINSVILLE, GA 30677(706) 613-5880(706) 613-5880 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Zachary Russell Atc, Lat, Cscs, Otc NPPES

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

ZACHARY RUSSELL ATC, LAT, CSCS, OTC (NPI 1750753182) is an individual sports medicine provider in Watkinsville, Georgia, licensed in Georgia (AT003715) and active in the NPI registry since October 2015. He maintains a secondary practice location in Pueblo.

NPPES Registry Identity

NPI1750753182
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameZACHARY RUSSELLCredential: ATC, LAT, CSCS, OTC
Location Address1305 JENNINGS MILL ROAD, BUILDING 300, SUITE 110Watkinsville, GA 30677
Mailing Address5883 N Nevada Ave, 324Colorado Springs, CO 80918-3507 · (678) 481-6519
Phone(706) 613-5880
Fax(706) 613-5880
Sole ProprietorYes
Enumeration DateOctober 26, 2015
Last NPPES UpdateSeptember 27, 2019
✔ NPI 1750753182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in GA · AT003715
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0001416 (CO)
1305 JENNINGS MILL ROAD, Watkinsville, GA 30677
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Secondary Practice Location 1

Location 12200 Bonforte BlvdPueblo, CO 81001-4901 · Phone (678) 481-6519

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 Zachary Russell's NPI number?

The NPI number for Zachary Russell is 1750753182. It was assigned to this individual provider in the NPPES registry on October 26, 2015.

Where is Zachary Russell located?

Zachary Russell practices at 1305 Jennings Mill Road Building 300, Suite 110, Watkinsville, GA 30677. The listed phone number is (706) 613-5880.

What is Zachary Russell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Zachary Russell was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.