Jeffrey A Donohue (NPI# 1639100480, PAC ID# 7618980053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639100480 |
| PAC ID by PECOS | 7618980053 |
| Professional Enrollment ID | I20110317000457 |
| Full Name | Jeffrey A Donohue |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
3755 Sixes Rd Canton GA 30114-7842 |
| Phone Number | 7707201880 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| Address | Phone | Organization |
|---|---|---|
| 3755 Sixes Rd, Canton, GA 30114-7842 | 7707201880 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
3755 SIXES RD |
| City | CANTON |
| State | GA |
| Zip | 30114-7842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan M Kaller | Family Medicine | Wellstar Medical Group, LLC | 3755 Sixes Rd, Canton, GA 30114-7842 |
| William Earl Porter | Family Medicine | Wellstar Medical Group, LLC | 3755 Sixes Rd, Canton, GA 30114-7842 |
| Marie Hagood Mulkey | Nurse Practitioner | Wellstar Medical Group, LLC | 3755 Sixes Rd, Canton, GA 30114-7842 |
| Richard J Myung | Cardiac Surgery | Wellstar Medical Group, LLC | 3755 Sixes Rd, Canton, GA 30114-7842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Hudson Fitzgerald | Podiatry | Village Podiatry Group, LLC. | 132 Riverstone Ter, Suite 101, Canton, GA 30114-1703 |
| Mitchell P Hilsen | Podiatry | Village Podiatry Group, LLC. | 132 Riverstone Ter, Suite 101, Canton, GA 30114-1703 |
| Elizabeth C Mccaw | Occupational Therapy | The Weston Group Inc | 1100 Reinhardt College Pkwy, Canton, GA 30114-2011 |
| Kevin F Goodgame | Physical Therapy | The Weston Group Inc | 1100 Reinhardt College Pkwy, Canton, GA 30114-2011 |
| Sara B Keeley | Nurse Practitioner | Piedmont Professional Services, LLC | 120 Marietta Hwy, Canton, GA 30114-2303 |
| Charlotte A Howell | Nurse Practitioner | Piedmont Professional Services, LLC | 120 Marietta Hwy, Canton, GA 30114-2303 |
| Sarah E Britt | Nurse Practitioner | Piedmont Professional Services, LLC | 120 Marietta Hwy, Canton, GA 30114-2303 |
| Elizabeth D Green | Clinical Social Worker | 59 Anderson Ave, Apt 308, Canton, GA 30114-2343 | |
| Dinesh K Bhatia | Nephrology | Dinesh K Bhatia Md PC | 260 B Hospital Rd, Canton, GA 30114-2409 |
| Alexander Kessler | Internal Medicine | 50 Medical Ln, Canton, GA 30114-2417 | |
| Find all physicians in zip 30114 | |||
| City | CANTON |
| Zip Code | 30114 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CANTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffrey A Donohue.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.