Active NPI
Donicia Railey Mabo, FNP
- Family Nurse Practitioner
- Kathleen, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP242109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP242109 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnect Health, Inc. | Current | Accepting new patients | |
| Careconnect Health, Inc. | Current | Accepting new patients | |
| Health Services of Central Georgia, Inc | Current | Accepting new patients | |
| Phoebe Sumter Medical Center, Inc. | Current | Accepting new patients | |
| Phoebe Sumter Medical Center, Inc | Current | 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.
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- Federally Qualified Health Center (FQHC)
- Richland, GA
- NPI 1063436624
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
-
- Federally Qualified Health Center (FQHC)
- Sylvester, GA
- NPI 1811874696
-
- Rural Health Clinic/Center
- Ellaville, GA
- NPI 1376778001
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.