Individual provider Active NPI

Nadine L Donahue, NP

  • Women's Health Nurse Practitioner
  • Brookhaven, GA
National Provider Identifier
1336766476
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
292150 Issued in GA
Practice address
1703 Oglethorpe Dr NE
Brookhaven, GA 30319-2791
Phone
(580) 483-9499
NPI assigned
Jul 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 292150 GA Primary

Addresses

Primary practice location

1703 Oglethorpe Dr NE
Brookhaven, GA 30319-2791

Mailing address

1703 Oglethorpe Dr NE
Brookhaven, GA 30319-2791
Phone (580) 483-9499

Other practice location 1

699 Church St NE Ste 235
Marietta, GA 30060-1132
Phone (770) 590-4175

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NDONAHUE440930@WELLSTAR.ORG

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
I20220112001203 GA Practitioner - Nurse Practitioner 9133511702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1700 Hospital S Dr
Austell, GA 30106-8159

1791 Mulkey Rd
Austell, GA 30106-1124

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
292150GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jan 15, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

699 Church St NE
Ste 235
Marietta, GA 30060
Phone (770) 590-4177

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Interoperability endpoints

  • Direct secure messaging: ndonahue440930@directwellstar.org
  • Direct secure messaging: ndonahue440930@wellstar.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1336766476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 OGLETHORPE DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192791",
            "telephone_number": "580-483-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 OGLETHORPE DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192791",
            "telephone_number": "580-483-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 Church St NE Ste 235",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601132",
            "country_code": "US",
            "telephone_number": "770-590-4175",
            "fax_number": "770-590-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "NADINE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-05",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "292150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NDONAHUE440930@WELLSTAR.ORG",
            "affiliation": "N",
            "address_1": "699 Church St NE Ste 235",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

Verify at the official NPI Registry.