Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. DONNA MALI JOHNSON MSN, AGACNP-BC.
NPI 1306694781
Nurse Practitioner - Acute Care in Dalton, GA

Active since May 09, 2024PECOS Enrolled
1504 BROADRICK DR, DALTON, GA 30720(706) 278-6403(706) 278-0087 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Nov 4, 2025, Jul 22, 2024 and 1 more (4 updates tracked since 2024).

About Mrs. Donna Mali Johnson Msn, Agacnp-bc. NPPES

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

MRS. DONNA MALI JOHNSON MSN, AGACNP-BC. (NPI 1306694781) is an individual acute care provider in Dalton, Georgia, licensed in Georgia (APRN-NP313940) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and maintains a secondary practice location in Dalton.

NPPES Registry Identity

NPI1306694781
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. DONNA MALI JOHNSONCredential: MSN, AGACNP-BC.
Location Address1504 BROADRICK DRDalton, GA 30720-3011
Mailing Address1504 Broadrick DrDalton, GA 30720-3011 · (706) 278-6403 · Fax (706) 278-0087
Fax(706) 278-0087
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 9, 2024
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1306694781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · APRN-NP313940
1504 BROADRICK DR, Dalton, GA 30720

Secondary Practice Location 1

Location 11200 Memorial DrDalton, GA 30720-2529 · Phone (423) 598-8892

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

Mrs. Donna Mali Johnson Msn, Agacnp-bc. 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 ID8921531104
PECOS Enrollment IDI20241025003071
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.

Hospital Affiliations CMS Care Compare

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 8

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

Surgery
1504 BROADRICK DR
DALTON, GA 30720
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Physician Assistant (Surgical)
1504 BROADRICK DR
DALTON, GA 30720
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Surgery
1504 BROADRICK DR
DALTON, GA 30720
Physician Assistant
1504 BROADRICK DR
DALTON, GA 30720

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 Donna Johnson's NPI number?

The NPI number for Donna Johnson is 1306694781. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Donna Johnson located?

Donna Johnson practices at 1504 Broadrick Dr, Dalton, GA 30720. The listed phone number is (706) 278-6403.

What is Donna Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Donna Johnson enrolled in Medicare?

Yes. Donna Johnson 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.

Is Donna Johnson affiliated with any hospitals?

According to CMS data, Donna Johnson is affiliated with Hamilton Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Johnson was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.