RUSSELL TREVENA (MD) – Pediatrics Physician, NPI 1679505762
Pediatrics Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RUSSELL TREVENA (MD)
PO BOX 422002
ATLANTA, GA 303429002
Phone: (678) 344-1960
Fax: (404) 682-1326
Type: Mailing
1510 HUDSON BRIDGE RD
STOCKBRIDGE, GA 302815020
Phone: (404) 785-8660
Fax: (404) 785-8730
Type: Mailing
Highway 54 West, Sharon Heights, Fayetteville, Fayette County, Georgia, 30214, United States
FAYETTEVILLE, GA 302144526
Phone: (678) 344-1960
Fax: (404) 682-1326
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-06-30
PECOS data refreshed: 2026-05-27
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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 30342)
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