| Dr Russell Gary Tipton, MD | |
|
1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | |
| (865) 548-1251 | |
| Not Available |
| Full Name | Dr Russell Gary Tipton |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 14 Years |
| Location | 1364 Clifton Rd Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184981185 | NPI | - | NPPES |
| Q028612 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 55637 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkwest Medical Center | Knoxville, TN | Hospital |
| Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
| Fort Loudoun Medical Center | Lenoir city, TN | Hospital |
| Leconte Medical Center | Sevierville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovative Pathology Services Pllc | 3476588849 | 9 |
| Entity Name | Innovative Pathology Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619141306 PECOS PAC ID: 3476588849 Enrollment ID: O20080117000700 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell Gary Tipton, MD 3946 Miser Station Rd, Louisville, TN 37777-3504 Ph: (865) 548-1251 | Dr Russell Gary Tipton, MD 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 Ph: (865) 548-1251 |
Dr. Anindita Devanath, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne # H185a, Atlanta, GA 30322 Phone: 404-712-8210 | |
Dr. Sarah Brooks Rodgers, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 1000 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 770-458-6101 | |
Michael Charles Horwath, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Road Ne Rm H-184, Atlanta, GA 30332 Phone: 404-727-8657 | |
Alexis Byrne Carter, MD Pathology Medicare: Medicare Enrolled Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 404-785-2069 Fax: 404-785-4541 | |
Dr. Kyle Thomas Bradley, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Rd Ne, H185a, Atlanta, GA 30322 Phone: 404-727-4283 | |
Dr. Michael Scott Howard, MD Pathology Medicare: Medicare Enrolled Practice Location: 1534 N Decatur Rd Ne, Ste 206, Atlanta, GA 30307 Phone: 404-371-0077 Fax: 404-371-1900 | |
Jeannine T. Holden, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne, Rm. F143b, Atlanta, GA 30322 Phone: 404-712-7344 Fax: 404-712-4140 |