Kevin D. Russell Sr.
NPI 1558759480ActiveIndividual· Driver· Columbia, MS
Driver in Columbia, Mississippi, licensed in MS, with an NPI issued in December 2014.
Overview
| NPI | 1558759480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 30, 2014 |
| Last updated in NPPES | Dec 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X | — | — |
| Driver | 172A00000X | 8878 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Driver providers in Columbia
- 1457857906
- 1184120644
- 1306314604