Individual provider Active NPI

Donovan Wayne Christie Sr., M.D.

  • Internal Medicine Physician
  • Tucker, GA
National Provider Identifier
1831157072
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044432 Issued in GA
Practice address
2227 Idlewood Rd
Tucker, GA 30084-4827
Phone
(678) 205-2039
Fax
(678) 205-2040
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 044432 GA
Internal Medicine Physician 207R00000X 044432 GA Primary

Addresses

Primary practice location

2227 Idlewood Rd
Tucker, GA 30084-4827

Mailing address

4514 Chamblee Dunwoody Rd
Suite 328
Atlanta, GA 30338-6202
Phone (678) 205-2039

Other identifiers 3

IdentifierTypeStateIssuer
00845798KMedicaidGA
000845798HMedicaidGA
000845798PMedicaidGA

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
I20040624000849 GA Practitioner - Internal Medicine 7315923166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

725 N Central Ave
Hapeville, GA 30354-1935
Phone (404) 761-2766

Hospital & facility affiliations

  • Sapphire Hospice and Palliative Care, LLC Hospice, Conyers, GA, CCN 851600
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044432GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anwan Wellness Medical Center PC CurrentSince Aug 6, 2004 Accepting new patients
Georgia Emergency Care, PC Past Accepting new patients
Murray Medical Center, Inc. Past Accepting new patients

Locations

4514 Chamblee Dunwoody Rd
Ste 262
Atlanta, GA 30338

4514 Chamblee Dunwoody Rd
#328
Atlanta, GA 30338

4514 Chamblee Dunwoody Rd
Ste 328
Atlanta, GA 30338

725 N Central Ave
Ste 328
Hapeville, GA 30354
Phone (404) 761-2766

725 N Central Ave
Hapeville, GA 30354
Phone (404) 761-2766

2227 Idlewood Rd
Tucker, GA 30084
Phone (678) 205-0491

2227 Idlewood Rd
Ste 1
Tucker, GA 30084
Phone (678) 205-2039

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAGADD
  • FHIR API: https://api.platform.athenahealth.com/18041/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1831157072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 328",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386202",
            "telephone_number": "678-205-2039",
            "fax_number": "678-205-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 IDLEWOOD RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844827",
            "telephone_number": "678-205-2039",
            "fax_number": "678-205-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "DONOVAN",
        "middle_name": "WAYNE",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "044432",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00845798K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000845798H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000845798P",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.