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

Dr. Charles Rayfield Russell III, MD

Individual provider Nephrology Physician · NPI 1922539857

Dr. Charles Rayfield Russell III, MD is a Nephrology in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
Specialties on file
4
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

3 Shircliff Way Ste 625
Jacksonville, FL 32204-4776
Phone: (904) 308-6900
Fax: (904) 308-6927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2001 Kingsley Ave, Orange Park, FL 32073-5148 — (904) 639-2000
  • 1 Tampa General Cir, Tampa, FL 33606-3571 — (813) 250-2506
  • 2201 S. Sterling Street, Morganton, NC 28655 — (678) 481-2813

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence ME152163 (FL)
Nephrology Physician Taxonomy 207RN0300X · Licence ME152163 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence ME152163 (FL)

Record details

NPI number1922539857
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2017
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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