NPIMap

Individual provider Active NPI

Paul David Donnan, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1255327680
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047892 Issued in GA
Practice address
35 Collier Rd NW
M-260
Atlanta, GA 30309-1613
Phone
(404) 367-3100
Fax
(404) 609-7645
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047892 GA Primary

Addresses

Primary practice location

35 Collier Rd NW
M-260
Atlanta, GA 30309-1613

Mailing address

35 Collier Rd NW
M-260
Atlanta, GA 30309-1613
Phone (404) 367-3100

Other identifiers 1

IdentifierTypeStateIssuer
00843367AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070629000084 GA Practitioner - Internal Medicine 8325147515 Reassigns benefits to 1 organization
I20200605001294 OR Practitioner - Internal Medicine 8325147515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Emanuel Hospital and Health CenterGroup PAC ID 4587573639, 235 clinicians

Practice addresses (Care Compare)

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2042

Hospital & facility affiliations

  • Providence Home Health Home health agency, Portland, OR, CCN 387048
  • Amedisys Home Health Care Home health agency, Portland, OR, CCN 387003
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2009 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Apr 20, 2020 Accepting new patients
Phoebe Family Medicine,Coffee County CurrentSince Jul 1, 2009 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Apr 20, 2020 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients
Aim Medical Associates PC Internal Medicine Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1600 NE Broadway St
Portland, OR 97232
Phone (503) 525-7599

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

Interoperability endpoints

  • Direct secure messaging: pdonnan458721@direct.lhs.org

Organizations & group practices 7

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 12

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1255327680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW",
            "address_2": "M-260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091613",
            "telephone_number": "404-367-3100",
            "fax_number": "404-609-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW",
            "address_2": "M-260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091613",
            "telephone_number": "404-367-3100",
            "fax_number": "404-609-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNAN",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00843367A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.