MRS. KAREN WHATLEY MCDONALD MSN, FNP-C
NPI 1427593045
Nurse Practitioner - Family in Fayetteville, GA

Q: What is Karen Mcdonald's NPI number?

The NPI number for Karen Mcdonald is 1427593045. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Q: What is Karen Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Mcdonald was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 05, 2017PECOS EnrolledAccepts Medicare Assignment

108 N PARK DR, FAYETTEVILLE, GA 30214(770) 461-3466 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Karen Whatley Mcdonald Msn, Fnp-c NPPES

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

MRS. KAREN WHATLEY MCDONALD MSN, FNP-C (NPI 1427593045) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (RN118039) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Upson Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427593045

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KAREN WHATLEY MCDONALDCredential: MSN, FNP-C

Location Address108 N PARK DRFayetteville, GA 30214-1645

Mailing Address1213 Lullwater WayMcdonough, GA 30252-5773 · (678) 873-1717

Phone(770) 461-3466

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 5, 2017

✔ NPI 1427593045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN118039

108 N PARK DR, Fayetteville, GA 30214

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Karen Whatley Mcdonald Msn, Fnp-c 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 ID6709280480

PECOS Enrollment IDI20210803000087

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.

Medicare Billing Reassignments

Medicare enrollment records show Karen Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Medical Group Of Georgia LLC

1.7 mi

Internal Medicine

101 YORKTOWN DR
Fayetteville, GA 30214

Reassigned Medicare billing, Georgia enrollment
759 clinicians in this Medicare group

NPI 1013313857 (770) 460-4285

Thomaston Medical Clinic, PC

40 mi

Internal Medicine

615 S CENTER ST
Thomaston, GA 30286

Reassigned Medicare billing, Georgia enrollment
6 clinicians in this Medicare group

NPI 1386616738 (706) 647-2147

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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 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.

182 services154 patients

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.

132 services117 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

69 services66 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

38 services35 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

33 services31 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

31 services31 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

29 services27 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.

24 services24 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

18 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

17 services15 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

11 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Upson Regional Medical Center

Acute Care Hospitals · Thomaston, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110002

Location801 W Gordon StreetThomaston, GA 30286 · Upson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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.

Other Providers at the Same Location NPPES 2

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

JOHN A KELLER, MD, PC

Family Medicine (Adult Medicine)

108 N PARK DR
FAYETTEVILLE, GA 30214

Fayette County (770) 461-3466

MS. JACQUELINE DENISE ROSS CRNP

Nurse Practitioner (Primary Care)

108 N PARK DR
FAYETTEVILLE, GA 30214

Fayette County (770) 487-7807

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 Karen Mcdonald's NPI number?

The NPI number for Karen Mcdonald is 1427593045. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Where is Karen Mcdonald located?

Karen Mcdonald practices at 108 N Park Dr, Fayetteville, GA 30214. The listed phone number is (770) 461-3466.

What is Karen Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Mcdonald enrolled in Medicare?

Yes. Karen Mcdonald 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.

Which organizations bill Medicare for Karen Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Mcdonald reassigns Medicare benefits to 2 organizations: Privia Medical Group Of Georgia LLC (Fayetteville, GA) and Thomaston Medical Clinic, PC (Thomaston, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Mcdonald accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Karen Mcdonald 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 Karen Mcdonald affiliated with any hospitals?

According to CMS data, Karen Mcdonald is affiliated with Upson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Mcdonald was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.