Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caitlyn Russell

Individual provider Physician Assistant · NPI 1639700925

Caitlyn Russell is a Physician Assistant in Martinez, Georgia. Qualified in 2019, 7 years ago. Practices with Savannah River Dermatology LLC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020

Practice location Address checks out

575 Furys Ferry Rd
Martinez, GA 30907-9059
Phone: (706) 691-7079
Fax: (706) 364-0416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 — (706) 863-9595
  • 3651 Wheeler Rd, Augusta, GA 30909-6521 — (706) 863-9595

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9732 (GA)

Record details

NPI number1639700925
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2020
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address575 Furys Ferry Rd, Martinez, GA 30907-9059

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Savannah River Dermatology Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Martinez