Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982575262 Individual Practitioner Female Practitioner

Juliette Adelle Russo , PA-C

Physician Assistant • Fort Walton Beach, FL

Professional Overview & Biography Verified Profile Summary

Juliette Russo, PA-C is a certified Physician Assistant practicing in Fort Walton Beach, FL. With approximately 1 years of clinical experience since completing medical education in 2025, Juliette Russo delivers high-quality medical care to the local community at 1046 MAR WALT DR STE 200.

Juliette Russo does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1046 Mar Walt Dr Ste 200

Fort Walton Beach, FL 325476645

Telephone 8502432229
Associated Practice Facility / Clinic
🏢 Michael H. Hennessey, Md, Pa Facility NPI 1447403134

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Walton Beach, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -12.3 yrs vs City Avg
City Avg: 13.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
44 Specialists

Practicing in Fort Walton Beach, FL (10376 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russo (1 Years) 1 Yrs
Fort Walton Beach Specialty Average (13.3 Years) 13.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9120802

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Kimberly Parks , CNM

Advanced Practice Midwife

NPI 1033457288

Certified Nurse Midwife

Kelsie Yang , PA-C

Physician Assistant - Surgical

NPI 1134371271

Physician Assistant (Certified)

Megan Duncan

Social Worker - Clinical

NPI 1134686322
Kirby Busca , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1225634728

Advanced Practice Registered Nurse

Dr. Cristina Carbia Schneider , DO

Obstetrics & Gynecology

NPI 1366948812

Doctor of Osteopathic Medicine (D.O.)

Alexcia Pennell , CNM, FNP-C

Advanced Practice Midwife

NPI 1407249691

Certified Nurse Midwife, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 14, 2026

Registered at 1046 MAR WALT DR STE 200, FORT WALTON BEACH, FL 325476645 (Tel: 8502432229)

📍
Updated Business Mailing Address July 14, 2026

Registered at 1046 MAR WALT DR STE 200, FORT WALTON BEACH, FL 325476645 (Tel: 8502432229)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2026

Physician Assistant (License #PA9120802 in FL)

NPI Profile Active September 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2025

Registered at 1000 MAR WALT DR, FORT WALTON BEACH, FL 325476708 (Tel: 8508637607)

📍
Updated Business Mailing Address September 17, 2025

Registered at 625 OLD PEACHTREE RD NW, SUWANEE, GA 300242937 (Tel: 6782257500)

👤
Provider Name / Credentials Updated September 17, 2025

Recorded as JULIETTE RUSSO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 17, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Juliette Russo. Be the first to share your experience!

Sign in to leave a review for Juliette Russo

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1982575262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2025
Last Update: July 14, 2026
Sole Proprietor: No

Mailing Address

1046 Mar Walt Dr Ste 200

Fort Walton Beach, FL 325476645

Phone: 8502432229

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.