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DONECIA INGRAM
NPI 1780429506
Nurse Practitioner - Women's Health in Lithonia, GA

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment
5796 KEYSTONE GRV, LITHONIA, GA 30058(678) 849-9088 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2026, Jul 14, 2024, Jun 25, 2024 (3 updates tracked since 2024).

About Donecia Ingram NPPES

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

DONECIA INGRAM (NPI 1780429506) is an individual women's health provider in Lithonia, Georgia, licensed in Georgia (280726) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780429506
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameDONECIA INGRAM
Location Address5796 KEYSTONE GRVLithonia, GA 30058-5692
Mailing Address5796 Keystone GrvLithonia, GA 30058-5692
Phone(678) 849-9088
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 25, 2024
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1780429506 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 · 280726
5796 KEYSTONE GRV, Lithonia, GA 30058
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Donecia Ingram 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 ID2264910272
PECOS Enrollment IDI20260131000701
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 Reassignment

Medicare enrollment records show Donecia Ingram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
21 mi
Internal Medicine
3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1205267192 (404) 344-0059

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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.

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 Donecia Ingram's NPI number?

The NPI number for Donecia Ingram is 1780429506. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Donecia Ingram located?

Donecia Ingram practices at 5796 Keystone Grv, Lithonia, GA 30058. The listed phone number is (678) 849-9088.

What is Donecia Ingram's specialty?

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

Is Donecia Ingram enrolled in Medicare?

Yes. Donecia Ingram 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 organization bills Medicare for Donecia Ingram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donecia Ingram reassigns Medicare benefits to Wellstar Medical Group, LLC (Atlanta, GA). The 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 Donecia Ingram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donecia Ingram accept?

Health plans from Alliant Health Plans, Inc. list Donecia Ingram 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 Donecia Ingram was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.