Active NPI
Kereisha N Donegal, MD
- Neurology Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 102225
- Practice address
- 2470 Daniells Bridge Rd Ste 261
Athens, GA 30606-6188 - Phone
- (706) 310-1805
- Fax
- (706) 310-9902
- NPI assigned
- Aug 14, 2020
- Last updated
- Mar 4, 2026
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 102225 | GA | Primary |
Addresses
Primary practice location
2470 Daniells Bridge Rd Ste 261
Athens, GA 30606-6188
Mailing address
2470 Daniells Bridge Rd Ste 261
Athens, GA 30606-6188
Phone (706) 310-1859
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2470 Daniells Bridge Rd
Athens, GA 30606-6188
Phone (706) 310-1859
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102225 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| St Mary's Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| St. Mary's Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Athens Internal Medicine PC | Multi-Specialty | Past | Accepting new patients |
Locations
1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100
2470 Daniells Bridge Rd
Ste 251
Athens, GA 30606
Phone (706) 310-1859
2470 Daniells Bridge Rd
Ste 261
Athens, GA 30606
Phone (706) 310-1859
Interoperability endpoints
- https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4
- kdonegal4403408@direct.trinity-health.org
- kereisha.donegal.p1@direct.mmc.nextgenshare.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1376711333
Multi-Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Athens, GA
- NPI 1316733355
Multi-Specialty
-
dba Albert Patrick Brooks MD
- Internal Medicine Physician
- Athens, GA
- NPI 1558394981
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary's Good Samaritan Hospital
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
-
- Rural Acute Care Hospital
- Lavonia, GA
- NPI 1518354778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1417568106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 DANIELLS BRIDGE RD STE 261",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066188",
"telephone_number": "706-310-1859",
"fax_number": "706-310-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 DANIELLS BRIDGE RD STE 261",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066188",
"telephone_number": "706-310-1805",
"fax_number": "706-310-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONEGAL",
"first_name": "KEREISHA",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "102225",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.