Gina Ditta-Donahue, CNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN285530 Issued in GA

Practice address

4485 Tench Rd Ste 1120
Suwanee, GA 30024-6741

Phone

(470) 266-1380

Fax

(470) 447-1809

NPI assigned

Mar 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 21, 2020 through Jul 21, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1124488259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 TENCH RD STE 1120",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246741",
            "telephone_number": "470-266-1380",
            "fax_number": "470-477-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 TENCH RD STE 1120",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246741",
            "telephone_number": "470-266-1380",
            "fax_number": "470-447-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTA-DONAHUE",
        "first_name": "GINA",
        "credential": "CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN285530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Travis Diglio, L.C.S.W., A.C.S.W.
• Ana Corina Dinulescu, MD
• Direct Healthcare & Supplies Service, LLC
• Direct Healthcare Services
• Direct Healthcare Supplies & Services LLC
• Divine Access LLC
• Elizabeth M Dixon, M.D.
• Rosemary Dixon
• Matthew Kybao DO, DMD
• Mehtaab Dobani, NP-C

• Family Nurse Practitioner in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.