Individual provider Active NPI

Maxwell Donnan, DNP

  • Certified Registered Nurse Anesthetist
  • Brunswick, GA
National Provider Identifier
1053072769
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN254779 Issued in GA
Practice address
1200 Fountain Park Cir Ste 4
Brunswick, GA 31520-4859
Phone
(912) 617-4553
Fax
(912) 264-5003
NPI assigned
Jan 5, 2022
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN254779 GA Primary

Addresses

Primary practice location

1200 Fountain Park Cir Ste 4
Brunswick, GA 31520-4859

Mailing address

1200 Fountain Park Cir Ste 4
Brunswick, GA 31520-4859
Phone (912) 617-4553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220304000667 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739573924 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Georgia Anesthesia PCGroup PAC ID 6901331339, 24 clinicians

Practice addresses (Care Compare)

5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Phone (706) 453-7331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN254779GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC CurrentSince Oct 1, 2024 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 8, 2023 Accepting new patients
Putnam General Hospital Authority CurrentSince Aug 17, 2025 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Vituity-Georgia Anesthesia PC Current Accepting new patients
Putnam General Hospital Authority CurrentSince Aug 17, 2025 Accepting new patients
Vituity-Georgia Anesthesia PC CurrentSince May 30, 2025 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2023 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince May 30, 2023 Accepting new patients

Locations

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1111 Glynco Pkwy
Fl 3
Brunswick, GA 31525
Phone (912) 262-6552

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

3215 Shrine Rd
Ste 8
Brunswick, GA 31520
Phone (912) 264-9024

3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

5401 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-7331

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

112 Professional Ct
Jesup, GA 31545

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

1905 Tebeau St
Ste B
Waycross, GA 31501
Phone (912) 280-9977

Interoperability endpoints

  • Direct secure messaging: maxwelldonnan@mmc.medalliesdirect.net

Organizations & group practices 10

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1053072769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FOUNTAIN PARK CIR STE 4",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204859",
            "telephone_number": "912-617-4553",
            "fax_number": "912-264-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FOUNTAIN PARK CIR STE 4",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204859",
            "telephone_number": "912-617-4553",
            "fax_number": "912-264-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNAN",
        "first_name": "MAXWELL",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN254779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.