Individual provider Active NPI

Donald Francis Colantonio III, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fort Eisenhower, GA
National Provider Identifier
1659807964
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
30967 Issued in NE
Practice address
300 East Hospital Road
Ft. Eisenhower, GA 30905
Phone
(706) 787-2611
NPI assigned
May 5, 2017
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 30967 NE Primary

Addresses

Primary practice location

300 East Hospital Road
Ft. Eisenhower, GA 30905

Mailing address

Dwight David Eisenhower Army Medical Center
300 E Hospital Road
Ft. Eisenhower, GA 30905-0000
Phone (706) 787-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250128001898 OH Practitioner - Orthopedic Surgery 9234668831 Reassigns benefits to 1 organization
I20251211000586 GA Practitioner - Orthopedic Surgery 9234668831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians
Synergy Surgicalists LLCGroup PAC ID 0244553105, 24 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2904 Bell St
Suite a
Zanesville, OH 43701-1721
Phone (740) 586-6828

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30967NEMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC CurrentSince Feb 3, 2025 Accepting new patients
Synergy Surgicalists LLC CurrentSince Sep 6, 2025 Accepting new patients
Genesis Medical Group, LLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

3647 J Dewey Gray Cir
Ste 200C
Augusta, GA 30909
Phone (706) 504-9712

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

2904 Bell St
Ste A
Zanesville, OH 43701
Phone (740) 586-6828

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1659807964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER",
            "address_2": "300 E HOSPITAL ROAD",
            "city": "FT. EISENHOWER",
            "state": "GA",
            "postal_code": "309050000",
            "telephone_number": "706-787-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST HOSPITAL ROAD",
            "city": "FT. EISENHOWER",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANTONIO",
        "first_name": "DONALD",
        "middle_name": "FRANCIS",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NE",
            "license": "30967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Eisenhower, GA

Sources for this page

Verify at the official NPI Registry.