Individual provider Active NPI

Donald P. Finnerty, M.D.

  • Urology Physician
  • Newnan, GA
National Provider Identifier
1780667329
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
021683 Issued in GA
Practice address
775 Poplar Road
Suite 160
Newnan, GA 30265-1931
Phone
(770) 400-4630
Fax
(770) 254-6069
NPI assigned
Nov 29, 2005
Last updated
Feb 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 021683 GA Primary

Addresses

Primary practice location

775 Poplar Road
Suite 160
Newnan, GA 30265-1931

Mailing address

775 Poplar Rd
Suite 160
Newnan, GA 30265-8300
Phone (770) 400-4630

Other identifiers 1

IdentifierTypeStateIssuer
00198052EMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000255 GA Practitioner - UrologyPractitioner - Diagnostic Radiology 7911987573 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC CurrentSince Aug 9, 2017 Accepting new patients
Papp Clinic Urology Current Accepting new patients
Papp Clinic Laboratory Past Accepting new patients

Locations

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

15 Cavender St
Newnan, GA 30263
Phone (770) 253-6616

1755 Highway 34 E
Newnan, GA 30265
Phone (770) 254-6040

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1780667329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 160",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658300",
            "telephone_number": "770-400-4630",
            "fax_number": "770-254-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POPLAR ROAD",
            "address_2": "SUITE 160",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651931",
            "telephone_number": "770-400-4630",
            "fax_number": "770-254-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNERTY",
        "first_name": "DONALD",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "021683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00198052E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.