CAITLYN RUSSELL – Physician Assistant, NPI 1639700925

CAITLYN RUSSELL is a healthcare provider. based in Tallahassee, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. 9732 (GA). The NPI Number for CAITLYN RUSSELL is 1639700925

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CAITLYN RUSSELL
NPI
1639700925
Phone
(706) 863-9595
Address
2626 CAPITAL MEDICAL BLVD
Enumeration Date
27 January 2020
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7066917079
Graduation Year
2019 (7 years ago)
PAC ID
9638507247
Group Practice PAC ID
5597824789
Professional Enrollment ID
I20200502000023
Address ID
GA309079059MA575XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for CAITLYN RUSSELL

  • 2626 CAPITAL MEDICAL BLVD

    TALLAHASSEE, FL 323084402

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Location

  • PO BOX 3726

    AUGUSTA, GA 309143726

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Mailing

  • 575 FURYS FERRY RD

    MARTINEZ, GA 309079059

    Phone: (706) 922-6179

    Fax: (706) 364-0416

    Type: Mailing

  • 3675 J DEWEY GRAY CIR STE 300

    AUGUSTA, GA 309091868

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Location

  • 3675 J Dewey Gray Cir Ste 300

    Augusta, GA 309091868

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Location

  • 3651 Wheeler Rd

    Augusta, GA 309096521

    Phone: (706) 863-9595

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 106 Open Payments records for all available years, with a total value of $5,190.

Total Amount is formed as General ($5,190) + Research ($0) + Ownership ($0) = $5,190.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($959).

Total Amount

$5,190

General + Research + Ownership

Payments

106

Total payment records

General Amount

$5,190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200502000023IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10941$0
17110Destruction of skin growth, 1-14 growths1212$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
17000Destruction of precancer skin growth, 1 growth1111$0
View full utilization report →

Insurance plans in this area (ZIP 32308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597824789View full group profile
NameSpecialtyState
D E R M A T O L O G YGA
D E R M A T O L O G YPA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

Where can patients find CAITLYN RUSSELL's NPI?
You can confirm CAITLYN RUSSELL with NPI 1639700925; it appears in the national provider directory.
Is CAITLYN RUSSELL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CAITLYN RUSSELL?
The page reflects Physician Assistant for CAITLYN RUSSELL. Clinical services aligned with this taxonomy classification.
What location metadata exists for CAITLYN RUSSELL?
The page summarizes Tallahassee, Florida for CAITLYN RUSSELL; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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