Individual provider Active NPI

Donicia Railey Mabo, FNP

  • Family Nurse Practitioner
  • Kathleen, GA
National Provider Identifier
1962072017
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP242109 Issued in GA
Practice address
2370 Houston Lake Rd
Kathleen, GA 31047-5400
Phone
(478) 654-2199
Fax
(478) 633-0577
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP242109 GA Primary

Addresses

Primary practice location

2370 Houston Lake Rd
Kathleen, GA 31047-5400

Mailing address

2370 Houston Lake Rd
Kathleen, GA 31047-5400
Phone (478) 654-2199

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720002324 GA Practitioner - Nurse Practitioner 7810390424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

2370 Houston Lake Rd
Kathleen, GA 31047-5400
Phone (478) 654-2199

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP242109GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jul 13, 2021 Accepting new patients
Careconnect Health, Inc. CurrentSince Jul 13, 2021 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Dec 1, 2025 Accepting new patients
Phoebe Sumter Medical Center, Inc. CurrentSince May 9, 2023 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince May 9, 2023 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

817 Griffin Ave
Eastman, GA 31023
Phone (478) 374-1801

1114 GA Highway 96
Ste D3
Kathleen, GA 31047
Phone (478) 910-1090

2370 Houston Lake Rd
Kathleen, GA 31047
Phone (478) 224-1309

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Organizations & group practices 5

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 1

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1962072017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 HOUSTON LAKE RD",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310475400",
            "telephone_number": "478-654-2199",
            "fax_number": "478-633-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 HOUSTON LAKE RD",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310475400",
            "telephone_number": "478-654-2199",
            "fax_number": "478-633-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABO",
        "first_name": "DONICIA",
        "middle_name": "RAILEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP242109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kathleen, GA

Sources for this page

Verify at the official NPI Registry.