DR. HORACE AINSLEY JR. RUSSELL (MD) – Internal Medicine Physician, NPI 1013357458

DR. HORACE AINSLEY JR. RUSSELL (MD) is a healthcare provider. based in Jackson, Mississippi. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. T-2711 (MS). The NPI Number for DR. HORACE AINSLEY JR. RUSSELL (MD) is 1013357458

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. HORACE AINSLEY JR. RUSSELL (MD)
NPI
1013357458
Phone
(601) 984-5601
Address
2500 N STATE ST
Enumeration Date
30 June 2013
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
6018554001
Graduation Year
2013 (13 years ago)
PAC ID
8224304001
Group Practice PAC ID
5991972077
Professional Enrollment ID
I20171023001802
Address ID
MS390465375CA161XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,232 INTERNAL MEDICINE in MS

Provider Addresses for DR. HORACE AINSLEY JR. RUSSELL (MD)

  • 2500 N STATE ST

    JACKSON, MS 392164500

    Phone: (601) 984-5601

    Type: Mailing

  • PO BOX 321359

    FLOWOOD, MS 392321359

    Phone: (601) 936-1395

    Type: Mailing

  • 161 RIVER OAKS DR

    CANTON, MS 390465375

    Phone: (601) 376-2832

    Fax: (601) 376-1815

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-10-23

PECOS data refreshed: 2026-06-15

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
I20171023001802IInternal MedicineMSTBD

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 minutes353151$0
99239Hospital discharge day management, more than 30 minutes183168$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes140133$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8028$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5352$0
View full utilization report →

Insurance plans in this area (ZIP 39216)

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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: 5991972077View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
Diagnostic RadiologyFL
Internal Medicine, HospitalistMS
Nurse PractitionerMS
Diagnostic RadiologyNM
Diagnostic RadiologyPA
-MS
Diagnostic RadiologyTN
Diagnostic RadiologyPA
-MS

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Frequently asked questions

What number should I use to identify DR. HORACE AINSLEY JR. RUSSELL (MD) for billing?
Administrative and clinical systems typically use NPI 1013357458 for DR. HORACE AINSLEY JR. RUSSELL (MD).
Quick check: is DR. HORACE AINSLEY JR. RUSSELL (MD) active?
Public NPPES data shows DR. HORACE AINSLEY JR. RUSSELL (MD) with an active NPI status right now.
Which specialty label fits DR. HORACE AINSLEY JR. RUSSELL (MD)?
NPPES ties DR. HORACE AINSLEY JR. RUSSELL (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. HORACE AINSLEY JR. RUSSELL (MD)?
DR. HORACE AINSLEY JR. RUSSELL (MD) is associated with Jackson, Mississippi in the same public data insurers reference.
Who maintains DR. HORACE AINSLEY JR. RUSSELL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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