DR. EDWIN H. DONNELLY (NPI# 1053315457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053315457 |
Entity Type | Individual |
Full Name | DR. EDWIN H. DONNELLY |
Credential | M.D. |
Practice Address |
975 Johnson Ferry Rd Ne Suite 370 Atlanta GA 30342-1619 |
Practice Telephone | 4042501242 |
Practice Fax Number | 4042501232 |
Mailing Telephone | 4042501242 |
Mailing Fax Number | 4042501232 |
Enumeration Date | 2005-06-13 |
Last Update Date | 2017-10-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 019156 | GA | Allopathic & Osteopathic Physicians |
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
019156 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | TAX ID | 581425151 | 01 |
GA | 00154206B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215029632 | Edwin Donnelly | Radiology | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
Street Address |
975 JOHNSON FERRY RD NE SUITE 370 |
City | ATLANTA |
State | GA |
Zip Code | 30342-1619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265754121 | Jessica Ruth Maxwell | Physician Assistant | 975 Johnson Ferry Rd Ne, Suite 380, Atlanta, GA 30342-1619 | 2010-02-19 |
1497934129 | Charishma Nayyar | Physician Assistant | 975 Johnson Ferry Rd Ne, Suite 100, Atlanta, GA 30342-1618 | 2007-10-30 |
1043406119 | Obstetrics & Gynecology of Atlanta II LLC | Clinic/Center | 975 Johnson Ferry Rd Ne, Suite 400, Atlanta, GA 30342-1619 | 2007-09-21 |
1932393915 | Stephanie R Keller | Psychiatry & Neurology | 975 Johnson Ferry Rd Ne, Suite 380, Atlanta, GA 30342-1619 | 2007-08-31 |
1821297474 | Atlanta Family Neurology, PC | Psychiatry & Neurology | 975 Johnson Ferry Rd Ne, Ste 360, Atlanta, GA 30342-1619 | 2007-07-13 |
1275755167 | Debra Denise Cooper | Nurse Practitioner | 975 Johnson Ferry Rd Ne, Suite 100, Atlanta, GA 30342-1619 | 2007-05-02 |
1720207780 | Edwin H. Donnelly, M.d., P.C. | Ophthalmology | 975 Johnson Ferry Rd Ne, Suite 370, Atlanta, GA 30342-1619 | 2007-04-25 |
1083831911 | Lisa Andreucci | Social Worker | 975 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1619 | 2007-04-20 |
1629294947 | Staci Haggerty Mccullohs | Physician Assistant | 975 Johnson Ferry Rd Ne, Suite 100, Atlanta, GA 30342 | 2007-04-17 |
1265563803 | Irina M Knudsen | Nurse Practitioner | 975 Johnson Ferry Rd Ne, Suite 460, Atlanta, GA 30342-1619 | 2007-03-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
Find all providers in zip 30342 |
Taxonomy Code | 207WX0107X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Retina Specialist |
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609162155 | Gregory Dongkyu Lee | Ophthalmology | 990 Sanders Rd Ste 100, Cumming, GA 30041-5960 | 2011-06-23 |
1194922765 | Sohail Khan | Ophthalmology | 1701 Magnolia Way Ste 201, Augusta, GA 30909-9485 | 2007-06-28 |
1346453685 | Athens Retina Center PC | Ophthalmology | 2705 Jefferson Rd, Athens, GA 30607-1208 | 2007-05-07 |
1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
1932707627 | Retina Institute of The Southeast, P.C. | Ophthalmology | 115 Dogwood Dr, Waynesboro, GA 30830-5448 | 2020-10-14 |
1811125610 | Victor Thomas Copeland | Ophthalmology | 2705 Jefferson Rd, Athens, GA 30607-1208 | 2009-06-30 |
1447461769 | Arpan Kumar Bachhawat | Ophthalmology | 160 Water Tower Ct, Macon, GA 31210-4873 | 2007-05-25 |
1891913380 | Diego Gabriel Espinosa-heidmann | Ophthalmology | 1120 15th Street, Ba 2320, Augusta, GA 30912 | 2007-04-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.