Individual provider Active NPI

Cassandra Barnette Donnelly, DO

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1023245388
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
068144 Issued in GA
Practice address
531 Asbury Cir
Suite N340
Atlanta, GA 30322-1006
Phone
(404) 778-5975
Fax
(404) 778-2630
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 068144 GA Primary

Addresses

Primary practice location

531 Asbury Cir
Suite N340
Atlanta, GA 30322-1006

Mailing address

531 Asbury Cir
Suite N340
Atlanta, GA 30322-1006
Phone (404) 778-5975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000059 GA Practitioner - Emergency Medicine 2769648179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers New Jersey Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

110 Banks Crossing Dr
Suite 110
Commerce, GA 30529-6606
Phone (762) 244-5310

1155 Concord Rd SE
Suite 200
Smyrna, GA 30080-4255
Phone (678) 600-5137

1305 Jennings Mill Rd
Suite 120
Watkinsville, GA 30677-7241
Phone (706) 410-2005

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2700 Clairmont Rd NE
Atlanta, GA 30329-2713
Phone (404) 327-1747

2810 Paces Ferry Rd SE
Suite 156
Atlanta, GA 30339-5700
Phone (470) 750-1301

3617 Roswell Nerd a
Atlanta, GA 30305-1111
Phone (404) 996-0196

3752 Cascade Rd SW
Suite 100
Atlanta, GA 30331-2148
Phone (470) 327-9870

3999 Austell Rd
Suite 901
Austell, GA 30106-1160
Phone (770) 809-3032

572 Hank Aaron Dr
Suite 4200
Atlanta, GA 30312-2896
Phone (678) 535-0170

6660 Roswell Nerd
Sandy Springs, GA 30328-3167
Phone (404) 996-0195

882 Ponce de Leon Ave
Atlanta, GA 30306-4268
Phone (770) 809-3034

921 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone (770) 660-5106

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
068144GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Jul 1, 2012 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2012 Accepting new patients
Emory Medical Care Foundation Inc Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Wellstreet of Georgia PC CurrentSince May 1, 2013 Accepting new patients
The Emory Clinic Pediatric Providers Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

531 Asbury Cir
Ste N340
Atlanta, GA 30322
Phone (404) 778-2624

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1023245388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 ASBURY CIR",
            "address_2": "SUITE N340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221006",
            "telephone_number": "404-778-5975",
            "fax_number": "404-778-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 ASBURY CIR",
            "address_2": "SUITE N340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221006",
            "telephone_number": "404-778-5975",
            "fax_number": "404-778-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "CASSANDRA",
        "middle_name": "BARNETTE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "068144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.