Individual provider Active NPI

Donna Gale Palmer, LICENSED PROFESSIONA

  • Mental Health Counselor
  • Ellijay, GA
National Provider Identifier
1649484320
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009008 Issued in GA
Practice address
533 Skyview Dr
# 4334
Ellijay, GA 30536
Phone
(256) 504-7100
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2680 AL
Mental Health Counselor 101YM0800X 009008 GA Primary

Addresses

Primary practice location

533 Skyview Dr
# 4334
Ellijay, GA 30536

Mailing address

533 Skyview Dr
Box 4334
Ellijay, GA 30536-2671
Phone (256) 504-7100

Other practice location 1

911 Sibert Cir
Glencoe, AL 35905-9681
Phone (256) 413-0887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2680ALMDMental Health Counselor
009008GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1649484320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 SKYVIEW DR",
            "address_2": "BOX 4334",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305362671",
            "telephone_number": "256-504-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 SKYVIEW DR",
            "address_2": "# 4334",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "30536",
            "telephone_number": "256-504-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Sibert Cir",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "AL",
            "postal_code": "359059681",
            "country_code": "US",
            "telephone_number": "256-413-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DONNA",
        "middle_name": "GALE",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2680",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "009008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.