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

Martha Kathleen Russell, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1851744130

Martha Kathleen Russell, AGPCNP-BC is a Nurse Practitioner in West Columbia, South Carolina. Qualified in 2016, 10 years ago. Practices with Self Regional Healthcare, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

146 E Hospital Dr 140
West Columbia, SC 29169-4800
Phone: (803) 936-7230
Fax: (803) 936-8097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1325 Spring St, Greenwood, SC 29646-3860 — (864) 725-4095

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 20237 (SC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 20237 (SC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 20237 (SC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 20237 (SC)

Record details

NPI number1851744130
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedJuly 21, 2016
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Self Regional Healthcare — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Columbia