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

Russell Chan, DO

Individual provider Emergency Medicine Physician · NPI 1801213640

Russell Chan, DO is an Emergency Medicine in Lawrenceville, Georgia. Qualified in 2011, 15 years ago. Practices with Gwinnett Emergency Specialists PC, a 50-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone: (678) 312-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 84279 (GA)

Record details

NPI number1801213640
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 18, 2014
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address100 Madison Ave, Morristown, NJ 07960-6136

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Gwinnett Emergency Specialists Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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