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NADINE L DONAHUE NP
NPI 1336766476
Nurse Practitioner - Women's Health in Brookhaven, GA

Active since July 05, 2020PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1703 OGLETHORPE DR NE, BROOKHAVEN, GA 30319(580) 483-9499 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2022, Jul 5, 2020 (2 updates tracked since 2020).

About Nadine L Donahue Np NPPES

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

NADINE L DONAHUE NP (NPI 1336766476) is an individual women's health provider in Brookhaven, Georgia, licensed in Georgia (292150) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Marietta, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336766476
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameNADINE L DONAHUECredential: NP
Location Address1703 OGLETHORPE DR NEBrookhaven, GA 30319-2791
Mailing Address1703 Oglethorpe Dr NeBrookhaven, GA 30319-2791 · (580) 483-9499
Phone(580) 483-9499
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 5, 2020
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1336766476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in GA · 292150
1703 OGLETHORPE DR NE, Brookhaven, GA 30319
Open in Google Maps ↗

Secondary Practice Location 1

Location 1699 Church St NE Ste 235Marietta, GA 30060-1132 · Phone (770) 590-4175 · Fax (770) 590-4174

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Nadine L Donahue Np 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 ID9133511702
PECOS Enrollment IDI20220112001203
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 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.
14 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services13 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30319 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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 Nadine Donahue's NPI number?

The NPI number for Nadine Donahue is 1336766476. It was assigned to this individual provider in the NPPES registry on July 5, 2020.

Where is Nadine Donahue located?

Nadine Donahue practices at 1703 Oglethorpe Dr NE, Brookhaven, GA 30319. The listed phone number is (580) 483-9499.

What is Nadine Donahue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Nadine Donahue enrolled in Medicare?

Yes. Nadine Donahue 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 Nadine Donahue accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Nadine Donahue 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.

When was this NPI record last updated?

The NPPES record for Nadine Donahue was last updated on April 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.