Individual provider Active NPI

Donshae Johnson

  • Phlebotomy Technician
  • Fayetteville, GA
National Provider Identifier
1790559854
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
185 Bradford SQ Ste C
Fayetteville, GA 30215-1932
Phone
(866) 607-1366
Fax
(866) 607-1366
NPI assigned
Nov 9, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X GA Primary

Addresses

Primary practice location

185 Bradford SQ Ste C
Fayetteville, GA 30215-1932

Mailing address

1201 W Peachtree St NW Ste 2625
Atlanta, GA 30309-3499
Phone (866) 607-1366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Draw Corp. Phlebotomy CurrentSince Nov 12, 2023 Accepting new patients

Locations

1201 W Peachtree St NW
Ste 2625
Atlanta, GA 30309
Phone (352) 870-8443

185 Bradford Sq
Ste C
Fayetteville, GA 30215
Phone (770) 780-5532

Organizations & group practices 1

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": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1790559854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST NW STE 2625",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093499",
            "telephone_number": "866-607-1366",
            "fax_number": "866-607-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BRADFORD SQ STE C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151932",
            "telephone_number": "866-607-1366",
            "fax_number": "866-607-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DONSHAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.