Judith Ferguson Donnan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN064894 Issued in GA

Practice address

151 S Houston Lake Rd Ste 190
Warner Robins, GA 31088-6382

Phone

(478) 953-4171

Fax

(478) 953-4170

NPI assigned

Feb 9, 2006

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment Care Compare group NPD
• Kirk Constant Care LLC

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1699423889
  NPD (past)
• The Kirk Clinic LLC

  dba Sterling Group Kirk Clinic

  • Rural Health Clinic/Center
  • Moultrie, GA
  • NPI 1083816128
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1740253756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317763877",
            "telephone_number": "229-891-9131",
            "fax_number": "229-891-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S HOUSTON LAKE RD STE 190",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886382",
            "telephone_number": "478-953-4171",
            "fax_number": "478-953-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNAN",
        "first_name": "JUDITH",
        "middle_name": "FERGUSON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN064894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Dobin
• Miketu Dodia, PHARM D., RPH
• Paige Smith Doherty, LAT, ATC
• Elizabeth Dombrowski
• Donald S. Meck, PH.D., PC
• Shannon Behavior Donovan
• Megan Ann Dopson
• Heather H Dorman, OTR/L
• Doso Enterprises, LLC (SonRISE Consulting)
• Jordan Dowd

• Family Nurse Practitioner in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.