| Brandi Powell Russ, FNP-C | |
| 
					755 E Smith St, Timmonsville, SC 29161-9430  | |
| (843) 346-3900 | |
| (843) 346-7839 | 
| Full Name | Brandi Powell Russ | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 755 E Smith St, Timmonsville, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346741121 | NPI | - | NPPES | 
| NP5077 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 21621 (South Carolina) | Primary | 
| Entity Name | Mcleod Physician Associates Ii | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568  | 
| Entity Name | Lowcountry Urgent Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326364100 PECOS PAC ID: 9739210337 Enrollment ID: O20100625000517  | 
| Entity Name | Mcleod Health Clarendon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brandi Powell Russ, FNP-C 755 E Smith St, Timmonsville, SC 29161-9430 Ph: (843) 346-3900  | Brandi Powell Russ, FNP-C 755 E Smith St, Timmonsville, SC 29161-9430 Ph: (843) 346-3900  | 
Sarah Nicole Jewell-ward, DNP, APRN,PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Blazing Trl, Timmonsville, SC 29161 Phone: 843-250-6906  | |
Jaymas Renee Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 E Market St, Timmonsville, SC 29161 Phone: 843-346-3730 Fax: 843-346-7687  | |
Danielle Ann Altman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 E Smith St, Timmonsville, SC 29161 Phone: 843-346-3900 Fax: 843-346-7839  | |
Allison Slice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 E Smith St, Timmonsville, SC 29161 Phone: 843-346-3900 Fax: 843-346-7839  | |
Laura Lee Samuel,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 E Market St, Timmonsville, SC 29161 Phone: 843-346-3730 Fax: 843-346-7689  |