Individual provider Active NPI

Donna Mali Johnson, MSN, AGACNP-BC.

  • Acute Care Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1306694781
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN-NP313940 Issued in GA
Practice address
1504 Broadrick Dr
Dalton, GA 30720-3011
Phone
(706) 278-6403
Fax
(706) 278-0087
NPI assigned
May 9, 2024
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN-NP313940 GA Primary

Addresses

Primary practice location

1504 Broadrick Dr
Dalton, GA 30720-3011

Mailing address

1504 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-6403

Other practice location 1

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (423) 598-8892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20241025003071 GA Practitioner - Nurse Practitioner 8921531104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians

Practice addresses (Care Compare)

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 226-6000

1432 Broadrick Dr
Dalton, GA 30720-3009
Phone (706) 226-8990

1436 Broadrick Dr
Suite B
Dalton, GA 30720-3009
Phone (706) 226-3434

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP313940GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince Aug 26, 2024 Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients
Dalton Surgical Group PC Surgery PastSince Sep 1, 2024 Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

1504 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-6403

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8594/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1306694781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203011",
            "telephone_number": "706-278-6403",
            "fax_number": "706-278-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203011",
            "telephone_number": "706-278-6403",
            "fax_number": "706-278-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202529",
            "country_code": "US",
            "telephone_number": "423-598-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DONNA",
        "middle_name": "MALI",
        "name_prefix": "Mrs.",
        "credential": "MSN, AGACNP-BC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "APRN-NP313940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.