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DONNA MARIE CROSS NP
NPI 1912570235
Nurse Practitioner - Psychiatric/Mental Health in Conyers, GA

Active since July 23, 2021PECOS EnrolledAccepts Medicare Assignment
2375 WALL ST SE STE 240, CONYERS, GA 30013(770) 679-4567(470) 945-4988 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Jul 23, 2021 (2 updates tracked since 2021).

About Donna Marie Cross Np NPPES

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

DONNA MARIE CROSS NP (NPI 1912570235) is an individual psychiatric/mental health provider in Conyers, Georgia, licensed in Georgia (2019077341) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912570235
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDONNA MARIE CROSSCredential: NP
Location Address2375 WALL ST SE STE 240Conyers, GA 30013-2296
Mailing Address2375 Wall St Se Ste 240Conyers, GA 30013-2296 · (770) 679-4567 · Fax (470) 945-4988
Phone(770) 679-4567
Fax(470) 945-4988
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 23, 2021
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1912570235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · 2019077341
2375 WALL ST SE STE 240, Conyers, GA 30013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, UnitedHealthcare.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

Donna Marie Cross 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 ID4688024979
PECOS Enrollment IDI20231228003050
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

2

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

Tranquility Behavioral Services LLC
Same address
Psychiatric/Mental Health
2375 WALL ST SE STE 240
Conyers, GA 30013
  • Reassigned Medicare billing, Georgia enrollment
NPI 1508639139 (770) 679-4567
Grow Healthcare Group PA
587 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona and Georgia enrollments
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 30013 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 10

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

BURGESS ELITE CARE LLC
Home Health
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (770) 679-1121
LIFELINE EQUIPMENTS LLC
Durable Medical Equipment & Medical Supplies
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (866) 708-7292
KIMBERLY MAUGHON
Counselor
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (770) 299-9943
FUNCTIONAL VITALITY
Occupational Therapist
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (678) 278-8348
TRANQUILITY BEHAVIORAL SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (770) 679-4567
VANESSA P ROBBINS
Counselor (Professional)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (678) 658-0592
CREATIVE TOUCH COUNSELING CENTER, LLC
Counselor (Mental Health)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (470) 829-6301
LACY MCKAY ADAMSON WEST APC ATR
Counselor
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (470) 829-6301

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 Cross's NPI number?

The NPI number for Donna Cross is 1912570235. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Donna Cross located?

Donna Cross practices at 2375 Wall St SE Ste 240, Conyers, GA 30013. The listed phone number is (770) 679-4567.

What is Donna Cross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Donna Cross enrolled in Medicare?

Yes. Donna Cross 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 Donna Cross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Cross reassigns Medicare benefits to 2 organizations: Tranquility Behavioral Services LLC (Conyers, GA) and Grow Healthcare Group PA (Miami, FL). 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 Donna Cross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Cross accept?

Health plans from Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Donna Cross 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 Donna Cross was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.