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PAUL DAVID DONNAN MD
NPI 1255327680
Internal Medicine in Atlanta, GA

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
35 COLLIER RD NW, M-260, ATLANTA, GA 30309(404) 367-3100(404) 609-7645 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul David Donnan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL DAVID DONNAN MD (NPI 1255327680) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (047892) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1986).

NPPES Registry Identity

NPI1255327680
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL DAVID DONNANCredential: MD
Location Address35 COLLIER RD NW, M-260Atlanta, GA 30309-1613
Mailing Address35 Collier Rd Nw, M-260Atlanta, GA 30309-1613 · (404) 367-3100 · Fax (404) 609-7645
Phone(404) 367-3100
Fax(404) 609-7645
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1986
Enumeration DateSeptember 21, 2005
Last NPPES UpdateFebruary 1, 2011
✔ NPI 1255327680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 047892
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
35 COLLIER RD NW, Atlanta, GA 30309
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Other Identifiers 3

Medicare ID-Type Unspecified11BDRBFGA
Medicare UPINE92209GA
Medicaid00843367AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul David Donnan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325147515
PECOS Enrollment IDI20200605001294
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
333 services149 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
98 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services55 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services39 patients
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve G0513
Prolonged preventive service refers to an extended medical consultation or treatment beyond the usual time. This service, provided in an outpatient setting, involves direct patient contact for the first 30 minutes beyond the primary procedure. It's used when additional time is required to address preventive health needs.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
13%395 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
81%235 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
13%47 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 95% · 22 patients
95%22 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
97%411 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%391 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
80%356 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
91%137 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIANNA E. JOHNSON D.O.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
ADANNA CHIJIOKE
Physician Assistant
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
CHAYCIE L GOGGINS PHARMD
Pharmacist
35 COLLIER RD NW
ATLANTA, GA 30309
Fulton County (404) 350-9772
CHRISTOPHER A DALINKUS D.O.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
CANDICE MARIE DELK D.O.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
MARIE-VERONIQUE INGULU BIELO M.D.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
ROBERT V. DIMEGLIO, MD, LLC
Urology
35 COLLIER RD NW, M-245
ATLANTA, GA 30309
Fulton County (678) 205-8211
MR. JOSEPH J NICHOLS JR. M.D.
Colon & Rectal Surgery
35 COLLIER RD NW, SUITE 475
ATLANTA, GA 30309
Fulton County (404) 351-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Donnan's NPI number?

The NPI number for Paul Donnan is 1255327680. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Paul Donnan located?

Paul Donnan practices at 35 Collier Rd NW M-260, Atlanta, GA 30309. The listed phone number is (404) 367-3100.

What is Paul Donnan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Donnan enrolled in Medicare?

Yes. Paul Donnan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Donnan accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Paul Donnan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Donnan affiliated with any hospitals?

According to CMS data, Paul Donnan is affiliated with Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Mount Hood Medical Center, Providence Portland Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Donnan was last updated on February 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.