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

Russell Walters, PA-C

Individual provider Physician Assistant · NPI 1952724403

Russell Walters, PA-C is a Physician Assistant in Jefferson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone: (865) 471-2300
Fax: (865) 471-2463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2489 (TN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1952724403
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2014
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

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