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

Reno Morelly Russell, PA-C

Individual provider Physician Assistant · NPI 1124348404

Reno Morelly Russell, PA-C is a Physician Assistant in Raleigh, North Carolina. Graduated from Wayne State University School of Medicine in 2010, 16 years ago. Practices with Emergeortho PA, a 724-clinician group and accepts Medicare assignment. Licensed in Michigan, North Carolina and Ohio.

Years since qualifying
16
Trained at
Wayne State University School of Medicine
Licensed in
MI, NC, OH
In the registry since
2010
Specialties on file
3
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

11550 Common Oaks Dr Ste 100
Raleigh, NC 27614-8093
Phone: (919) 453-5740
Fax: (919) 453-5741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11322 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 5601005764 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 50.004332RX (OH)

Record details

NPI number1124348404
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2010
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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