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

Chloe Lan Russo, MD

Individual provider Pediatrics Physician · NPI 1528300639

Chloe Lan Russo, MD is a Pediatric Medicine in Marietta, Georgia. Graduated from University of Florida College of Medicine in 2013, 13 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
13
Trained at
University of Florida College of Medicine
Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3747 Roswell Rd Ste 205
Marietta, GA 30062-6227
Phone: (470) 956-9050
Fax: (678) 560-4339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (866) 600-2273

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 76158 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 76158 (GA)

Record details

NPI number1528300639
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESOctober 31, 2019
Mailing address377 Roswell St Ne Ste 205, Marietta, GA 30060

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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