Russell Trevena, MD
NPI 1679505762 · Pediatric Emergency Medicine (Pediatrics) Physician · Stockbridge, GA
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russell Trevena, MD is a Pediatric Emergency Medicine (Pediatrics) Physician provider in Stockbridge, GA (NPI 1679505762).
Provider details
- NPI number
- 1679505762
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 39251 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2022-06-06
Frequently asked questions
- What is Russell Trevena's NPI number?
- Russell Trevena's National Provider Identifier (NPI) is 1679505762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Trevena's specialty?
- Russell Trevena is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician (Allopathic & Osteopathic Physicians).
- Where is Russell Trevena located?
- Russell Trevena's practice location on file with NPPES is 1510 Hudson Bridge Rd, Stockbridge, GA 30281-5020.
- What is Russell Trevena's phone number?
- The practice phone number listed in the NPPES registry for Russell Trevena is (404) 785-8660.
- Does Russell Trevena accept Medicare?
- Russell Trevena is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Russell Trevena's NPI active?
- Yes — Russell Trevena's NPI (1679505762) is active in the NPPES registry as of the last update on 2022-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.