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JEFFREY ALLEN DONOHUE
NPI 1639100480
Family Medicine in Canton, GA

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3755 SIXES RD, SUITE 202, CANTON, GA 30114(770) 720-1880(770) 704-7162 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Allen Donohue NPPES

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

JEFFREY ALLEN DONOHUE (NPI 1639100480) is an individual family medicine provider in Canton, Georgia, licensed in Georgia (046540) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of University Of Alabama School Of Medicine (1995).

NPPES Registry Identity

NPI1639100480
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY ALLEN DONOHUE
Location Address3755 SIXES RD, SUITE 202Canton, GA 30114-7842
Mailing Address3755 Sixes Rd, Suite 202Canton, GA 30114-7842 · (770) 720-1880 · Fax (770) 704-7162
Phone(770) 720-1880
Fax(770) 704-7162
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1995
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639100480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 046540
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3755 SIXES RD, Canton, GA 30114
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF57460GA
Medicare ID-Type Unspecified08BBTLPGA

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

Jeffrey Allen Donohue 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 ID7618980053
PECOS Enrollment IDI20110317000457
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.

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.
227 services169 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.
124 services124 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.
36 services30 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

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 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

Other Providers at the Same Location NPPES 11

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

MRS. GRACELYN AMBRISTER DENEUS FNP
Nurse Practitioner (Family)
3755 SIXES RD
CANTON, GA 30114
Cherokee County (404) 395-0890
DR. NATHAN MICHAEL KALLER D.O.
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Cherokee County (770) 720-1880
DR. SCOTT VIDAR MERRITT DMD
Dentist (General Practice)
3755 SIXES RD, STE 100
CANTON, GA 30114
Cherokee County (770) 704-1812
WILLIAM E PORTER M.D.
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Cherokee County (770) 720-1880
WELLSTAR MEDICAL GROUP, LLC
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Cherokee County (770) 720-1880
MRS. STEPHANIE DIANE BRUTON NP
Nurse Practitioner (Family)
3755 SIXES RD
CANTON, GA 30114
Cherokee County (770) 704-4580
MEGAN LENA WANDER SUTER CPNP-PC
Nurse Practitioner (Pediatrics)
3755 SIXES RD
CANTON, GA 30114
Cherokee County (706) 692-9768
BRIDGEMILL FAMILY MEDICAL ASSOCIATES, PC
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Cherokee County (770) 720-1880

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 Jeffrey Donohue's NPI number?

The NPI number for Jeffrey Donohue is 1639100480. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Jeffrey Donohue located?

Jeffrey Donohue practices at 3755 Sixes Rd Suite 202, Canton, GA 30114. The listed phone number is (770) 720-1880.

What is Jeffrey Donohue's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Donohue enrolled in Medicare?

Yes. Jeffrey Donohue 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 Jeffrey Donohue 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 Jeffrey Donohue 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 Jeffrey Donohue affiliated with any hospitals?

According to CMS data, Jeffrey Donohue is affiliated with Northside Hospital Cherokee, Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Donohue was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.