NPIMap

Individual provider Active NPI

Jose M Donatien, MD

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1841511797
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
88976 Issued in GA
Practice address
4161 NW 5TH St Ste 204
Plantation, FL 33317-2101
Phone
(954) 539-7557
Fax
(754) 778-7995
NPI assigned
Jun 15, 2010
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 88976 GA Primary

Addresses

Primary practice location

4161 NW 5TH St Ste 204
Plantation, FL 33317-2101

Mailing address

4161 NW 5TH St Ste 204
Plantation, FL 33317-2101
Phone (954) 539-7557

Other identifiers 2

IdentifierTypeStateIssuer
14S65OtherFLFLORIDA BLUE
009371000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604002877 GA Practitioner - Family Practice 1355509894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 W Monroe St
Suite 1200
Chicago, IL 60603-2420

PO Box
Atlanta, GA 30374

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Georgia PC Family Medicine CurrentSince Jun 7, 2021 Accepting new patients
Cary M Zinkin DPM, PA PastSince Sep 23, 2021 Accepting new patients

Locations

1263 Moreland Ave SE
Atlanta, GA 30316
Phone (470) 444-3137

677 Cascade Ave SW
Atlanta, GA 30310
Phone (470) 444-3143

1631 Gordon Hwy
Ste 17A
Augusta, GA 30906
Phone (706) 230-7006

2732 Candler Rd
Decatur, GA 30034
Phone (470) 444-3133

3088 Washington Rd
East Point, GA 30344
Phone (470) 444-3135

625 S Marietta Pkwy SE
Marietta, GA 30060
Phone (470) 377-7228

7028 Highway 85
Riverdale, GA 30274
Phone (470) 444-3136

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

Interoperability endpoints

  • Direct secure messaging: jose.donatien@oakstreethealth.gwaydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1841511797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 NW 5TH ST STE 204",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172101",
            "telephone_number": "954-539-7557",
            "fax_number": "754-778-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 NW 5TH ST STE 204",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172101",
            "telephone_number": "954-539-7557",
            "fax_number": "754-778-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATIEN",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "88976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14S65",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009371000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.