Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Joshua Daniel Russ, PA-C

Individual provider Physician Assistant · NPI 1184961633

Mr. Joshua Daniel Russ, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Practices with Iredell Physician Network LLC, a 89-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-4864
Phone: (704) 332-1291
Fax: (704) 332-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1184961633
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2013
Last updated in NPPESJanuary 28, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Iredell Physician Network Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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