Amanda Russell
Amanda Russell is registered under Family Practice in Dinwiddie, Virginia. Graduated from Eastern Virginia Medical School in 2015, 11 years ago. Practices with Southern Dominion Health System Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 11
- Trained at
- Eastern Virginia Medical School
- Licensed in
- VA
- In the registry since
- 2015
Practice location Address checks out
13855 Courthouse RdDinwiddie, VA 23841-2254
Phone: (804) 469-3731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 0101264538 (VA) |
|---|
Record details
| NPI number | 1114312295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 5, 2015 |
| Last updated in NPPES | July 15, 2024 |
| Certification date | July 15, 2024 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduated | 2015 (11 years in practice) |
| Group practice | Southern Dominion Health System Inc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 125 |
| Average patient age | 72 |
Payments from drug and device companies, 2025
| Food and Beverage | $42 |
|---|
Practises at
- Bon Secours Southside Medical Center Hospital · Petersburg, VA · listed as Petersburg Hospital Company LLC
- Amedisys Home Health Home health agency · Midlothian, VA · listed as Amedisys Home Health of Virginia LLC
Colleagues at Southern Dominion Health System Inc
- Courtney Shane Barrett, NP Family Nurse Practitioner · Crewe, VA
- Rita M Barrett, NP-C Family Nurse Practitioner · Amelia, VA
- Dr. Margaret Rodgers Campbell, MD Pediatrics Physician · Amelia, VA
- Christian Kirby Connor Physician Assistant · Midlothian, VA
- Margaret Katelyn Inge, DO Student in an Organized Health Care Education/Training Program · Victoria, VA
- Christy T Johnson-Oliver, NP Primary Care Nurse Practitioner · Blackstone, VA
- Dr. Emily Kluball, MD Family Medicine Physician · Chester, VA
- Fitzgerald Marcelin Sr., MD Internal Medicine Physician · Emporia, VA
- Dr. Hyo Kwon Park, DO Family Medicine Physician · Dinwiddie, VA
- Troy West Pulliam, PAC Medical Physician Assistant · Victoria, VA
- Shannon Rakes, LCSW Clinical Social Worker · Victoria, VA
- MS. Elizabeth Stanley, MSN, APRN, FNP-C Family Nurse Practitioner · Dinwiddie, VA
Other providers in Dinwiddie
-
Dr. Hyo Kwon Park, DO
13855 Courthouse Rd, Dinwiddie, VA 23841-2254 · (804) 469-3731