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Andrea Russo, PA

NPI 1043082183ActiveIndividual· Physician Assistant· Robins Afb, GA

Physician Assistant (PA) in Robins Afb, Georgia, with an NPI issued in October 2023.

Overview

NPI1043082183
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedOct 23, 2023
Last updated in NPPESJan 15, 2025
Certified by providerJan 15, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X—GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Robins Afb

All physician assistants in Georgia