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

Lonnie Nicholas Russell, MD

Individual provider Family Medicine Physician · NPI 1053873612

Lonnie Nicholas Russell, MD is a Family Practice in Marietta, Georgia. Graduated from University of South Carolina School of Medicine in 2019, 7 years ago. Practices with Piedmont Professional Services LLC, a 163-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
7
Trained at
University of South Carolina School of Medicine
Licensed in
GA
In the registry since
2019
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

660 Cherokee St NE Ste 100
Marietta, GA 30060-8930
Phone: (678) 797-8201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 14th St Nw, Atlanta, GA 30318-7963 — (404) 480-9797

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 88192 (GA)

Record details

NPI number1053873612
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Piedmont Professional Services Llc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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