Donya Boatwright-Johnson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11033523 Issued in FL

Practice address

996 Spanish Moss TRL
Loganville, GA 30052-6763

Phone

(470) 306-1325

NPI assigned

Jun 25, 2024

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

Enrolled in FL

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Stedfast Medical Services LLCGroup PAC ID 4981000999, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stedfast Medical Services LLC

  • Psychiatry Physician
  • Palm Beach Gardens, FL
  • NPI 1508438284
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1124862065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 SPANISH MOSS TRL",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526763",
            "telephone_number": "470-306-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 SPANISH MOSS TRL",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526763",
            "telephone_number": "470-306-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATWRIGHT-JOHNSON",
        "first_name": "DONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11033523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessings Medical Staffing LLC
• BMC Helping Hands for You LLC
• Philip Boadu, NP
• Board of Health Walton County
• Board of Health Walton County
• Jesty Boby, FNP-C
• Bold Ark LLC
• Miranda Bollinger
• Jennifer K Bolton, DC
• Karene Gaile Boone, NP

• Psychiatric/Mental Health Nurse Practitioner in Loganville, GA
• Providers in Loganville, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.
• 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.