Active NPI
Maxwell Donnan, DNP
- Certified Registered Nurse Anesthetist
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN254779
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN254779 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Vision Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Putnam General Hospital Authority | Current | Accepting new patients | |
| Morgan County Georgia Hospital Authority | Current | Accepting new patients | |
| Vituity-Georgia Anesthesia PC | Current | Accepting new patients | |
| Putnam General Hospital Authority | Current | Accepting new patients | |
| Vituity-Georgia Anesthesia PC | Current | Accepting new patients | |
| Sweet Dreams Nurse Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Anesthesiology Nurses of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | 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
- 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.
-
- Anesthesiology Physician
- Lavonia, GA
- NPI 1356190888
-
dba Putnam General Hospital
- Critical Access Hospital
- Eatonton, GA
- NPI 1386670834
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1669737409
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1649463365
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1134740319
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Brunswick, GA
- NPI 1275504771
-
dba Morgan Medical Center
- Critical Access Hospital
- Madison, GA
- NPI 1205843174
-
dba Putnam General Hospital
- Oxygen Equipment & Supplies (DME)
- Eatonton, GA
- NPI 1184810509
-
- Anesthesiology Physician
- Greensboro, GA
- NPI 1427854363
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morgan Medical Center
- Family Medicine Physician
- Madison, GA
- NPI 1083080105
Hospital
-
dba Morgan Medical Center
- Critical Access Hospital
- Madison, GA
- NPI 1205843174
-
dba St. Mary's Good Samaritan Hospital
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
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.