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

Diamond Katina Russos, PA

Individual provider Physician Assistant · NPI 1811467137

Diamond Katina Russos, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1001 Blythe Blvd Ste 500
Charlotte, NC 28203-5866
Phone: (704) 373-1813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 381-8840
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1422
  • 231 S Sharon Amity Rd, Charlotte, NC 28211-2803 — (704) 304-6400
  • 920 Church St N, Concord, NC 28025-2927 — (704) 403-3664

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08718 (NC)

Record details

NPI number1811467137
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2018
Last updated in NPPESJuly 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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