Individual provider Active NPI

Karen J. M. Donato, PA-C

  • Physician Assistant
  • Macon, GA
National Provider Identifier
1710042676
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005208 Issued in GA
Practice address
640 Martin Luther King Jr Blvd
Macon, GA 31201-3297
Phone
(478) 745-5455
Fax
(478) 745-2915
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005208 GA Primary

Addresses

Primary practice location

640 Martin Luther King Jr Blvd
Macon, GA 31201-3297

Mailing address

640 Martin Luther King Jr Blvd Ste 200
Macon, GA 31201-3297

Other practice location 1

309 Osigian Blvd
Warner Robins, GA 31088-8953
Phone (478) 745-5455

Other identifiers 1

IdentifierTypeStateIssuer
5208OtherGAGEORGIA LICENSE

Other names 1

  • Mrs. Karen J.M. Donato Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000093 GA Practitioner - Physician Assistant 8921182668 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Systems, Inc CurrentSince Apr 3, 2017 Accepting new patients
Macon Medical Group PC Past Accepting new patients
Personal Recovery Network LLC PastSince Aug 13, 2019 Accepting new patients

Locations

4292 Gray Hwy
Gray, GA 31032
Phone (478) 986-2500

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14077/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1710042676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MARTIN LUTHER KING JR BLVD STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MARTIN LUTHER KING JR BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013297",
            "telephone_number": "478-745-5455",
            "fax_number": "478-745-2915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Osigian Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888953",
            "country_code": "US",
            "telephone_number": "478-745-5455",
            "fax_number": "478-745-2915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONATO",
        "first_name": "KAREN",
        "middle_name": "J. M.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "5208",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DONATO",
            "middle_name": "J.M.",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.