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

Sean Russell

Individual provider Physician Assistant · NPI 1619399300

Sean Russell is a Physician Assistant in Raleigh, North Carolina. Qualified in 2013, 13 years ago. Practices with Raleigh Neurosurgical Clinic Inc, a 52-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2014
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Practice location Address checks out

5838 Six Forks Rd Ste 100
Raleigh, NC 27609-3893
Phone: (919) 785-3400
Fax: (919) 783-7778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3009 New Bern Ave, Raleigh, NC 27610-1214 — (919) 232-5021
  • 10010 Falls Of Neuse Rd, Raleigh, NC 27614-8494 — (919) 714-6184

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04739 (NC)

Record details

NPI number1619399300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2014
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Raleigh Neurosurgical Clinic Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Raleigh