Individual provider Active NPI

Edwin Donnelly, MD, PHD

  • Diagnostic Radiology Physician
  • Powell, OH
National Provider Identifier
1215029632
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
109339 Issued in GA
Practice address
5118 Canterbury Dr
Powell, OH 43065-8614
Phone
(614) 893-9204
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 109339 GA Primary

Addresses

Primary practice location

5118 Canterbury Dr
Powell, OH 43065-8614

Mailing address

3601 TVC
Nashville, TN 37232-0001
Phone (615) 322-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100511000619 TN Practitioner - Diagnostic Radiology 8820126915 Reassigns benefits to 4 organizations
I20251021000718 GA Practitioner - Diagnostic Radiology 8820126915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
109339GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Oct 2, 2025 Accepting new patients
Vanderbilt Imaging Services, LLC Diagnostic Radiology CurrentSince Dec 1, 2014 Accepting new patients
Vanderbilt University Medical Center Diagnostic Radiology CurrentSince Apr 30, 2016 Accepting new patients
One Hundred Oaks Imaging, LLC Diagnostic Radiology CurrentSince Dec 1, 2014 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Oct 2, 2025 Accepting new patients
Williamson Imaging, LLC Diagnostic Radiology CurrentSince Dec 1, 2014 Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology Past Accepting new patients

Locations

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

Dept AT 40379
Atlanta, GA 31192

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

Dept A T 40379
Atlanta, GA 31192

2009 Mallory Ln
Ste 150
Franklin, TN 37067
Phone (615) 771-8668

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

719 Thompson Ln
Ste 23300
Nashville, TN 37204
Phone (615) 936-3606

1909 Acklen Ave
Nashville, TN 37212
Phone (615) 777-9729

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

Interoperability endpoints

  • Direct secure messaging: edonnelly1184070@direct.emory.org

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1215029632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 TVC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 CANTERBURY DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658614",
            "telephone_number": "614-893-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "EDWIN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "109339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.