Marissa Allen Macdonald

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN-NP315110 Issued in GA

Practice address

2764 W Main St
Snellville, GA 30078-5708

Phone

(770) 978-3388

Fax

(770) 978-0807

NPI assigned

May 7, 2025

Last updated

Jan 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Emory University School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marissa.macdonald.1@32352.direct.athenahealth.com

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.

• Gwinnett Clinic LTD

  dba Gwinnett Clinic

  • Multi-Specialty Clinic/Center
  • Duluth, GA
  • NPI 1629117650

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Dacula, GA
  • NPI 1467463885
  NPD
• Gwinnett Clinic, LTD

  dba Gwinnett Clinic

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1528212149
  NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Loganville, GA
  • NPI 1255342630
  NPD (past)

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1447040217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 W MAIN ST",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785708",
            "telephone_number": "678-884-0155",
            "fax_number": "770-995-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 W MAIN ST",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785708",
            "telephone_number": "770-978-3388",
            "fax_number": "770-978-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1289 Scenic Hwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300456358",
            "country_code": "US",
            "telephone_number": "770-972-9000",
            "fax_number": "770-736-0556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Beaver Ruin Rd NW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473413",
            "country_code": "US",
            "telephone_number": "770-923-7778",
            "fax_number": "770-806-1383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4870 Lawrenceville Hwy",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300842952",
            "country_code": "US",
            "telephone_number": "770-496-1429",
            "fax_number": "770-270-5854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244918",
            "country_code": "US",
            "telephone_number": "678-205-5000",
            "fax_number": "678-240-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "MARISSA",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "APRN-NP315110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M.a.C. Youth Services
• M.S. Optics, Inc. (Pearle Vision)
• Mablehouse Hospice
• Mac Family Center
• Alisha Macauley, M.S., NCC, LPC
• Laura Maclaren, ATC
• Karen Macnamee
• Nicholas Maddox
• Stanford James Maddox
• Mademind Wellness & Performance

• Primary Care Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.