Active NPI
Nadine L Donahue, NP
- Women's Health Nurse Practitioner
- Brookhaven, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 292150
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292150 | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | 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
- ndonahue440930@directwellstar.org
- 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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.