Individual Healthcare Provider
Mackenzie Brooke Russell, PA-C
Provider's NPPES record last updated: April 6, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1407610017
- Primary Specialty
- Physician Assistant
- Practice Location
- Hilton Head Island, South Carolina
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 5:59 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (South Carolina)
- 6039
Practice Locations
Practice Location
25 Hospital Center Cmns Ste 200
Hilton Head Island, South Carolina 29926-2841
Phone: (843) 837-4400
Additional Practice Location
350 Fording Island Rd Ste 100
Bluffton, South Carolina 29910-5168
Phone: (843) 837-4400
Fax: (843) 837-4440
Additional Practice Location
7 Arley Way Ste 101
Bluffton, South Carolina 29910-4301
Phone: (843) 837-4400
Fax: (843) 837-4440
Additional Practice Location
7 Arley Way Ste 200
Bluffton, South Carolina 29910-4302
Phone: (843) 837-4400
Additional Practice Location
11 Arley Way Ste 102
Bluffton, South Carolina 29910-4883
Phone: (843) 837-4400
Fax: (843) 837-4440
Additional Practice Location
1813 Richmond Ave
Port Royal, South Carolina 29935-2014
Phone: (843) 837-4400
Fax: (843) 837-4440
Record Information
- Enumeration Date
- February 13, 2024
- Provider's NPPES Record Last Updated
- April 6, 2026
- Certification Date
- April 6, 2026
- NPISignal NPPES Dataset
- August 2026
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