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

Dr. Russell John Ellicott, DPM

Individual provider Podiatrist · NPI 1720022452

Dr. Russell John Ellicott, DPM is a Podiatry in Martinez, Georgia. Graduated from Kent State University College of Podiatric Medicine in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
44
Trained at
Kent State University College of Podiatric Medicine
Licensed in
GA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

501 Furys Ferry Rd
Martinez, GA 30907-9059
Phone: (706) 738-3298
Fax: (706) 364-4290
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence POD000558 (GA)
Podiatrist Taxonomy 213E00000X · Licence 96 (SC)

Record details

NPI number1720022452
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 15, 2006
Last updated in NPPESFebruary 6, 2019
Mailing address501 Fury'S Ferry Road, Martinez, GA 30907

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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