NPPES file of Aug 9, 2026

Kelly Russin, PA

Physician Assistant · Union City, GA

Kelly Russin, PA is a physician assistant with a practice address in Union City, Georgia, and NPI 1780745554, issued on Dec 13, 2006. Check the license (Georgia 004096, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1780745554
Name
Kelly Russin
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
004096 GA
Self-reported in NPPES; status is on the state search
Practice location
6325 Shannon Pkwy, Union City, GA 30291
Phone
(770) 964-1400
Enumerated
Dec 13, 2006
Record last updated
Jul 26, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(770) 306-1343
Medicare enrollment
Enrolled (PECOS I20111228000258); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 6325 Shannon Pkwy

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jon Cox, D.O.Family Medicine Physician1205997624
  2. Kenneth Jones, M.D.Adult Medicine Physician1417018920
  3. Megan Walpole, PACMedical Physician Assistant1841439387

Verify Kelly Russin in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license 004096
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

4.6 times the Medicare Part D claims of the average physician assistant in 2024

3,795 Medicare Part D claims for 386 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 111 claims were for opioids.

  1. Kelly Russin3,795
  2. Specialty average830

Most prescribed

  1. Amlodipine Besylate189 claims
  2. Alprazolam158 claims
  3. Atorvastatin Calcium158 claims
  4. Zolpidem Tartrate98 claims
  5. Hydrochlorothiazide97 claims
  6. Tizanidine Hcl74 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $973.87

66 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kelly Russin$973.87
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Southside Medical CareUnion City, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kelly Russin among 4,662 physician assistant records in Georgia

Kelly Russin, PA is one of 4,662 physician assistant records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 85% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated2003 · median 2018 among the 2,761 with a school on file
  • Record last updated2012 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physician Assistant providers in Georgia

There are 4,662 physician assistant records in Georgia.

The 8 physician assistant records with the nearest ZIP codes

  1. Harriette Badger, PAConley, GA 302881114044245
  2. Ja Na Holyfield, PAEllenwood, GA 302941356300651
  3. Richard Slipkovich, P.A.Ellenwood, GA 302941407900335
  4. Michelle Williams, PA-CEllenwood, GA 302941356433452
  5. Lashley Hall, PAThomaston, GA 302861295895423
  6. Mandi HowardThomaston, GA 302861730599820
  7. Baleigh McDanielThomaston, GA 302861972382497
  8. Tiffany McLendon, CSFAThomaston, GA 302861801576616

Common questions

What is Kelly Russin, PA's NPI number?

Kelly Russin, PA's National Provider Identifier (NPI) is 1780745554, issued on Dec 13, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kelly Russin, PA located?

The NPPES record lists a practice address at 6325 Shannon Pkwy, Union City, GA, 30291. Phone: (770) 964-1400. Providers update this record themselves, so call before visiting.

How can I verify Kelly Russin, PA's license?

NPPES lists Georgia license number 004096, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

How much does Kelly Russin, PA prescribe under Medicare Part D?

In 2024, Kelly Russin, PA had 3,795 Medicare Part D claims for 386 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.