What is Russell Pridgen's NPI number?

Russell Pridgen's National Provider Identifier (NPI) is 1528424579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Russell Pridgen's specialty?

Russell Pridgen is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).

Where is Russell Pridgen located?

Russell Pridgen's practice location on file with NPPES is 588 Kristin Ln, Winder, GA 30680-3247.

What is Russell Pridgen's phone number?

The practice phone number listed in the NPPES registry for Russell Pridgen is (410) 375-1996.

Is Russell Pridgen's NPI active?

Yes — Russell Pridgen's NPI (1528424579) is active in the NPPES registry as of the last update on 2016-06-05.

IndividualActive

Russell Pridgen

NPI 1528424579 · Contractor · Winder, GA

Russell Pridgen is a Contractor provider in Winder, GA (NPI 1528424579).

Provider details

NPI number: 1528424579
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 057447391 (GA)

Specialties & taxonomies

ContractorPrimary171W00000XLicense 057447391 (GA)
Other Service Providers

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

588 Kristin Ln

Winder, GA 30680-3247

Phone: (410) 375-1996

Fax: (770) 867-1651

Street-level locationGet directions

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Mailing address