RUSSELL DAVID MADER (M.D.) – Dermatology Physician, NPI 1871571182

RUSSELL DAVID MADER (M.D.) is a healthcare provider. based in Kingsport, Tennessee. specializing in Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. MD0000030476 (TN). The NPI Number for RUSSELL DAVID MADER (M.D.) is 1871571182

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL DAVID MADER (M.D.)
NPI
1871571182
Phone
(423) 246-4961
Address
2300 W STONE DR
Enumeration Date
6 January 2006
Last Update Date
24 October 2007

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
4237647131
Graduation Year
1991 (35 years ago)
PAC ID
1153396098
Group Practice PAC ID
3971578816
Professional Enrollment ID
I20101116000010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for RUSSELL DAVID MADER (M.D.)

  • West Stone Drive, Sevier Terrace, Kingsport, Sullivan County, Tennessee, 37660-3000, United States

    KINGSPORT, TN 376602360

    Phone: (423) 246-4961

    Fax: (423) 245-3136

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37660)

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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: 3971578816View full group profile
NameSpecialtyState
JONMICHAEL SAMSEL (DO)
D E R M A T O L O G YTN
DR. KYLE PHILLIP RADACK (M.D.)
D E R M A T O L O G YTN
SHELLEY HILTON (FNP)
Nurse PractitionerTN
KELLY MCDANIEL (NP-C)
Nurse PractitionerVA
LAUREN ELIZABETH TISDALE (MD)
D E R M A T O L O G YTN
JULIA ERIN REID (M.D.)
D E R M A T O L O G YTN
JAMES P RASH (M.D.)
-TN
ALLISON PIERCE (M.D.)
D E R M A T O L O G YTN
HOLLY A SANDERS (MD)
D E R M A T O L O G YTN
LILLIAN AMBER MCCALL (MSN, APRN, FNP-C)
Nurse PractitionerTN

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Frequently asked questions

What identifier follows RUSSELL DAVID MADER (M.D.) across health systems?
The NPI 1871571182 uniquely identifies RUSSELL DAVID MADER (M.D.) in U.S. healthcare data.
Quick check: is RUSSELL DAVID MADER (M.D.) active?
Public NPPES data shows RUSSELL DAVID MADER (M.D.) with an active NPI status right now.
What type of care does RUSSELL DAVID MADER (M.D.) provide?
RUSSELL DAVID MADER (M.D.)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit RUSSELL DAVID MADER (M.D.) in Kingsport, Tennessee?
For routing, start with Kingsport, Tennessee for RUSSELL DAVID MADER (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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