DR. CHARLES RAYFIELD RUSSELL III MD
NPI 1922539857
Internal Medicine - Critical Care Medicine in Jacksonville, FL

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
3 SHIRCLIFF WAY STE 625, JACKSONVILLE, FL 32204(904) 308-6900(904) 308-6927 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2026, Sep 18, 2025, Sep 12, 2024 and 3 more (6 updates tracked since 2017).

About Dr. Charles Rayfield Russell Iii Md NPPES

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

DR. CHARLES RAYFIELD RUSSELL III MD (NPI 1922539857) is an individual critical care medicine provider in Jacksonville, Florida, licensed in Florida (ME152163) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1922539857
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. CHARLES RAYFIELD RUSSELL IIICredential: MD
Location Address3 SHIRCLIFF WAY STE 625Jacksonville, FL 32204-4776
Mailing Address3 Shircliff Way Ste 625Jacksonville, FL 32204-4776 · (904) 308-6900 · Fax (904) 308-6927
Fax(904) 308-6927
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateApril 1, 20266 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
NPI 1922539857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in FL · ME152163
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME152163 (FL)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License ME152163 (FL)
3 SHIRCLIFF WAY STE 625, Jacksonville, FL 32204

Secondary Practice Locations 3

Location 12001 Kingsley AveOrange Park, FL 32073-5148 · Phone (904) 639-2000 · Fax (904) 639-2015
Location 22201 S. Sterling Street, Carolinas HealthCare System Blue RidgeMorganton, NC 28655 · Phone (678) 481-2813
Location 31 Tampa General CirTampa, FL 33606-3571 · Phone (813) 250-2506

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Dr. Charles Rayfield Russell Iii Md 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 ID941530539
PECOS Enrollment IDI20210813000591
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Hca Florida Trinity Hospital

Acute Care Hospitals · Trinity, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100191
Location9330 Sr 54Trinity, FL 34655 · Pasco County
Emergency services Birthing friendly

Hca Florida Brandon Hospital

Acute Care Hospitals · Brandon, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100243
Location119 Oakfield DrBrandon, FL 33511 · Hillsborough County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Ucf Lake Nona Hospital

Acute Care Hospitals · Orlando, FL
OwnershipProprietary
CMS Certification Number100350
Location6850 Lake Nona BlvdOrlando, FL 32827 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 7

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

Internal Medicine (Critical Care Medicine)
3 SHIRCLIFF WAY STE 625
JACKSONVILLE, FL 32204
Nurse Practitioner
3 SHIRCLIFF WAY STE 625
JACKSONVILLE, FL 32204
Physician Assistant
3 SHIRCLIFF WAY STE 625
JACKSONVILLE, FL 32204
Nurse Practitioner (Family)
3 SHIRCLIFF WAY STE 625
JACKSONVILLE, FL 32204
Nurse Practitioner (Critical Care Medicine)
3 SHIRCLIFF WAY STE 625
JACKSONVILLE, FL 32204
Surgery (Surgical Critical Care)
3 SHIRCLIFF WAY STE 625
JACKSONVILLE, FL 32204
Internal Medicine (Critical Care Medicine)
3 SHIRCLIFF WAY STE 625
JACKSONVILLE, FL 32204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922539857, enumerated as an "individual" on March 22, 2017.

The provider is located at 3 SHIRCLIFF WAY STE 625 JACKSONVILLE, FL 32204 and the phone number is (904) 308-6900.

Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida. Please consult your insurance carrier or call the provider to verify.

Charles Russell is affiliated with: ASCENSION ST VINCENT'S RIVERSIDE, HCA FLORIDA TRINITY HOSPITAL, HCA FLORIDA BRANDON HOSPITAL, ASCENSION ST VINCENT'S CLAY COUNTY and UCF LAKE NONA HOSPITAL.