Donna E Allison, NP
Individual provider Active NPI Nurse Practitioner · Flintstone, GA
NPI 1679061949 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1679061949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 127837 (GA)
- Practice address
- 3257 Chattanooga Valley Rd
Flintstone, GA 30725-2387 - Phone
- (706) 841-7700
- Fax
- (706) 841-7800
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Landw Medical Services LLC
Practice addresses (Care Compare)
6553 Hwy 41
Ringgold, GA 30736-2641
Phone (706) 965-6000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180618002715 | GA | Practitioner - Nurse Practitioner | 0143575068 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127837 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L&W Medical Services LLC | Current |
Accepting new patients | |
| Weaver Health Services, LLC | Current |
Accepting new patients | |
| National Family Medical Associates of Georgia, LLC | Current |
Accepting new patients | |
| National Family Medical Associates, LLC | Current |
Accepting new patients |
Locations
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
3257 Chattanooga Valley Rd
Flintstone, GA 30725
Phone (706) 841-7700
5610 Wendy Bagwell Pkwy
Hiram, GA 30141
Phone (770) 943-7808
5610 Wendy Bagwell Pkwy
Ste 103
Hiram, GA 30141
Phone (770) 943-7808
6553 Highway 41
Ringgold, GA 30736
Phone (706) 937-2777
7566 Nashville St
Ringgold, GA 30736
Phone (706) 935-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 127837 | GA | Yes |
Addresses
Primary practice location
3257 Chattanooga Valley Rd
Flintstone, GA 30725-2387
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243
Other practice location 1
7566 Nashville St
Ringgold, GA 30736-2361
Phone (706) 935-3600
Other names
- Donna E Gass
Other providers in Flintstone, GA
All providers in Flintstone, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.