DR. RUSSELL BLAINE MINOR (M.D.) – Internal Medicine Physician, NPI 1033162110

DR. RUSSELL BLAINE MINOR (M.D.) is a healthcare provider. based in Chatsworth, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 035479 (GA). The NPI Number for DR. RUSSELL BLAINE MINOR (M.D.) is 1033162110

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL BLAINE MINOR (M.D.)
NPI
1033162110
Phone
(706) 695-1992
Address
800 GI MADDOX PKWY
Enumeration Date
18 May 2006
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7062268990
Graduation Year
1990 (36 years ago)
PAC ID
5395912125
Group Practice PAC ID
0446151179
Professional Enrollment ID
I20120119000606
Address ID
GA307203009DA1432XDRXX300
Telehealth
Yes

Contacts

Secure Messaging
russell.minor.1@8518.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,409 INTERNAL MEDICINE in GA

Provider Addresses for DR. RUSSELL BLAINE MINOR (M.D.)

  • 800 GI MADDOX PKWY

    CHATSWORTH, GA 307054008

    Phone: (706) 695-1992

    Fax: (866) 348-6516

    Type: Mailing

  • 1432 BROADRICK DR

    DALTON, GA 307203009

    Phone: (706) 226-8990

    Fax: (706) 529-5313

    Type: Mailing

  • Dalton Post Office, 30, Gunning Street, Dalton, Upper Lachlan Shire Council, New South Wales, 2581, Australia

    DALTON, GA 307221587

    Phone: (706) 529-7440

    Fax: (706) 529-7437

    Type: Mailing

  • 800, Gi Maddox Parkway, Chatsworth, Murray County, Georgia, 30705, United States

    CHATSWORTH, GA 307054008

    Phone: (706) 695-1992

    Fax: (866) 648-6516

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $592.

Total Amount is formed as General ($592) + Research ($0) + Ownership ($0) = $592.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($220).

Total Amount

$592

General + Research + Ownership

Payments

37

Total payment records

General Amount

$592

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

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: 2012-01-19

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
I20120119000606IInternal MedicineGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes645303$0
36415Insertion of needle into vein for collection of blood sample390259$0
83036Hemoglobin a1c level348194$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month23132$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit132132$0
View full utilization report →

Insurance plans in this area (ZIP 30705)

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Provider's Procedures

DR. RUSSELL BLAINE MINOR (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA82270Stool analysis for blood to screen for colon tumors2626
INTERNAL MEDICINEGA83036Hemoglobin A1C level384200

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: 0446151179View full group profile
NameSpecialtyState
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Orthopedic SurgeryTN
Internal MedicineGA
Cardiovascular Disease (Cardiology)GA
Medical OncologyGA
-GA
Nurse PractitionerGA
-GA
Physician AssistantGA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. RUSSELL BLAINE MINOR (M.D.)'s NPI?
Yes. DR. RUSSELL BLAINE MINOR (M.D.) is listed with NPI 1033162110 in the public NPI dataset.
Does the file indicate DR. RUSSELL BLAINE MINOR (M.D.) is practicing under active NPI?
Directory data currently reports DR. RUSSELL BLAINE MINOR (M.D.) as active.
What is DR. RUSSELL BLAINE MINOR (M.D.)'s specialty?
The listing groups DR. RUSSELL BLAINE MINOR (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. RUSSELL BLAINE MINOR (M.D.) serve?
DR. RUSSELL BLAINE MINOR (M.D.)'s listing highlights Chatsworth, Georgia; more addresses can appear in NPPES.
Why does DR. RUSSELL BLAINE MINOR (M.D.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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