Individual provider Active NPI

Patricia Donahue, PA

  • Physician Assistant
  • Ionia, MI
National Provider Identifier
1972841419
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012390 Issued in MI
Practice address
2776 S State Rd
Ionia, MI 48846-8472
Phone
(616) 775-7500
NPI assigned
Jan 17, 2013
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012390 MI Primary

Addresses

Primary practice location

2776 S State Rd
Ionia, MI 48846-8472

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other names 1

  • Patricia Eileen Edwards Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address scrmcpec@scrmc.com Direct
Direct Messaging Address pdonahue103266@directpatientrecord.com Health Information Exchange (HIE)
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Direct Messaging Address pdonahue2564334@epic00.corewelldirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150811004416 MS Practitioner - Physician Assistant 1557676236 Reassigns benefits to 5 organizations
I20240507003887 MI Practitioner - Physician Assistant 1557676236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Services of the Gulf Coast LLCGroup PAC ID 8426301607, 32 clinicians

Practice addresses (Care Compare)

2111 12 Mile Rd NW
Sparta, MI 49345-9754
Phone (616) 391-8470

921 Cedar Lake Rd
Suite E
Biloxi, MS 39532-2126
Phone (228) 396-3945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601012390MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc CurrentSince Jun 3, 2019 Accepting new patients
Spectrum Health United CurrentSince Dec 1, 2025 Accepting new patients
South Central Clinics, Inc CurrentSince Jun 3, 2019 Accepting new patients
Spectrum Health United CurrentSince Dec 1, 2025 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Physician Assistant CurrentSince Aug 29, 2016 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Aug 29, 2016 Accepting new patients
Hattiesburg Clinic PA CurrentSince Aug 18, 2020 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Aug 18, 2020 Accepting new patients
Spectrum Health United Past Accepting new patients
Cooper Family Medical Center Inc. PastSince Sep 17, 2011 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

1220 Jefferson St
Laurel, MS 39440
Phone (601) 426-4000

801 Goodyear Blvd
Picayune, MS 39466
Phone (601) 749-0688

Interoperability endpoints

  • Direct secure messaging: patricia.donahue.1@24353.direct.athenahealth.com
  • Direct secure messaging: pdonahue2564334@epic00.corewelldirect.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1972841419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 S STATE RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488468472",
            "telephone_number": "616-775-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "PATRICIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scrmcpec@scrmc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1220 Jefferson St",
            "city": "Laurel",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394404355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdonahue103266@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "415 S 28th Ave",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394017246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2776 S State Rd",
            "city": "Ionia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488468472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdonahue2564334@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "2776 S State Rd",
            "city": "Ionia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488468472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "EDWARDS",
            "middle_name": "EILEEN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ionia, MI

Sources for this page

Verify at the official NPI Registry.