Ricky Russell, M.D. LLC
Ricky Russell, M.D. LLC is a healthcare organization registered as Ophthalmology Physician in Jackson, MS, holding Type 2 (organization) NPI 1912049487 since 2007. The authorized official on file is Ricky Russell, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912049487 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ricky Russell, M.D. LLC |
| Practice address | 501 MARSHALL ST, SUITE 603, Jackson, MS, 39202 |
| Phone | 6019859120 |
| Fax | 6019859122 |
| Enumeration date | 2007-02-13 |
| Last updated in NPPES | 2014-01-29 |
Authorized official
| Name | Ricky Russell |
|---|---|
| Title | Physician |
| Phone | 6019859120 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207W00000X | Ophthalmology Physician | Primary | — | — |
Copy-ready billing details
Provider: Ricky Russell, M.D. LLC NPI: 1912049487 Taxonomy: 207W00000X (Ophthalmology Physician) Address: 501 MARSHALL ST, SUITE 603, Jackson, MS, 39202
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1932176641 | Sabra Sullivan | Individual | Procedural Dermatology Physician | Jackson, MS |
| 1548219884 | Premier Medical Group of Mississippi LLC | Organization | Clinic/Center | Jackson, MS |
| 1184661373 | Robert Naef | Individual | Maternal & Fetal Medicine Physician | Jackson, MS |
| 1093752297 | Kenneth Perry | Individual | Maternal & Fetal Medicine Physician | Jackson, MS |
| 1073550273 | Marie Williams | Individual | Obstetrics & Gynecology Nurse Practitioner | Jackson, MS |
| 1265479471 | James Moore | Individual | Gynecologic Oncology Physician | Jackson, MS |
| 1437194651 | Whitney Raju | Individual | Internal Medicine Physician | Jackson, MS |
| 1013944214 | Virginia Jones | Individual | Obstetrics & Gynecology Physician | Jackson, MS |
Verify this record
Cross-check NPI 1912049487 against the authoritative CMS record: view Ricky Russell, M.D. LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Ricky Russell, M.D. LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-01-29.