Active NPI 1144331422 Individual Practitioner Male Practitioner

Dr. Robert Joseph Russell , MD

Pediatrics • Clinton, MS

Professional Overview & Biography Verified Profile Summary

Dr. Robert Russell, MD is a registered healthcare professional specializing in Pediatrics in Clinton, MS. Practice services are available at 539C HIGHWAY 80 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

539c Highway 80 W

Clinton, MS 390564193

Telephone 6019247489

Fax 6019240988

Associated Practice Facility / Clinic

🏢 Children's Medical Group, P.a. Facility NPI 1588700603

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Clinton, MS

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 19.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Clinton, MS (436 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MS 14410

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0119425 (MS)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Hallye Lewis , MD

Pediatrics

NPI 1952989675

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 539C HIGHWAY 80 W, CLINTON, MS 390564193 (Tel: 6019247489)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1867 CRANE RIDGE DR STE 101B, JACKSON, MS 392164956 (Tel: 6013628776)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT RUSSELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #14410 in MS)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144331422

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1867 Crane Ridge Dr Ste 101b

Jackson, MS 392164956

Phone: 6013628776

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.