Edwin H. Donnelly, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

019156 Issued in GA

Legal business name

EDWIN H. DONNELLY, M.D., P.C.

Practice address

975 Johnson Ferry Rd NE
Suite 370
Atlanta, GA 30342-1619

Phone

(404) 352-4700

Fax

(404) 352-8807

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Edwin H Donnelly, M.D.NPI 1053315457

Title

President

Phone

(404) 352-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin H. Donnelly, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Atlanta, GA
  • NPI 1053315457
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1720207780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FERRY RD NE",
            "address_2": "SUITE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421619",
            "telephone_number": "404-352-4700",
            "fax_number": "404-352-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FERRY RD NE",
            "address_2": "SUITE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421619",
            "telephone_number": "404-352-4700",
            "fax_number": "404-352-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN H. DONNELLY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-352-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "019156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00154206B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Janiece Edwards
• Tyler Evan Edwards
• Walter C Edwards, MD
• Wendy Edwards, LAPC
• Yvette Edwards
• Efe Efemini, MD
• Karen Elizabeth Effinger, MD
• Portia Chine Effinger, NP-C
• Erin Y Effner, DPT
• Jade Efune, PA-C

• Ophthalmology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.