PATRICK DONNELLY (NPI# 1770994253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770994253 |
| Entity Type | Individual |
| Full Name | PATRICK DONNELLY |
| Credential | PA-C |
| Practice Address |
881 Uss James Madison Rd Naval Branch Health Clinic Kings Bay Kings Bay GA 31547-2531 |
| Practice Telephone | 9125738801 |
| Practice Fax Number | 9125733967 |
| Mailing Telephone | 9125738801 |
| Mailing Fax Number | 9125733967 |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487137592 | Patrick Keyes Donnelly | Peer Specialist | 401 Fourth St, Fossil, OR 97830-8302 | 2018-09-13 |
| 1760792535 | Patrick Webb Donnelly | Pharmacist | 3420 North Scottsdale Road, Scottsdale, AZ 85251 | 2010-10-14 |
| 1144302696 | Patrick Francis Donnelly | Prosthetic/Orthotic Supplier | 85 Barnes Rd Ste 302, Wallingford, CT 06492-1832 | 2006-10-20 |
| 1588610463 | Patrick M Donnelly | Specialist/Technologist | 1 Folmer Drive, Cortland, NY 13045 | 2006-05-25 |
| 1720508625 | Patrick Eamon Donnelly | Chiropractor | 5001 Peachtree Blvd, Ste 625, Chamblee, GA 30341-2820 | 2017-06-21 |
| 1255591178 | Patrick G Donnelly | Nurse Anesthetist, Certified Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2008-06-13 |
| 1104000819 | Patrick F Donnelly | Dentist | 105 Union Ave, Brielle, NJ 08730-1813 | 2007-12-18 |
| 1083786040 | Patrick Michael Donnelly | Nurse Practitioner | 9709 Bruton Rd, Dallas, TX 75217-2704 | 2006-11-14 |
| Street Address |
881 USS JAMES MADISON RD NAVAL BRANCH HEALTH CLINIC KINGS BAY |
| City | KINGS BAY |
| State | GA |
| Zip Code | 31547-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067337 | Andrea M Thaxton | Pediatrics | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2005-07-14 |
| 1538644612 | Jamie Lynn Hughes | Dental Hygienist | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2018-09-25 |
| 1114432085 | Branch Medical Clinic Kings Bay | Clinic/Center | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2017-12-13 |
| 1811345002 | Karl Yves Grand Pierre | Physician Assistant | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2016-05-27 |
| 1063839546 | Melissa Johnson | Registered Nurse | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2014-03-24 |
| 1588955090 | Hillary Constance Smith | Dental Hygienist | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2011-05-02 |
| 1922307024 | Kelly Renea Buchanan | Pharmacy Technician | 881 Uss James Madison Rd, Naval Submarine Base, Kings Bay, GA 31547-2531 | 2011-03-15 |
| 1851546535 | Leah Moss | Physician Assistant | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2008-11-24 |
| 1942486139 | Roy Edmond Holder | Military Health Care Provider | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2008-01-17 |
| 1952587222 | Dmaurier Barnhart | Military Health Care Provider | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922316785 | D'metric Maudell Moss | Nurse's Aide | 881 Uss James Madison Raod, Naval Submarine Base, Kings Bay, GA 31547 | 2010-09-15 |
| 1023291788 | Jay D Carson | Military Health Care Provider | 1050 Uss Gerogia Ave, Kings Bay, GA 31547 | 2007-12-17 |
| 1568651321 | Westley Michael Durnell | Military Health Care Provider | 580 Uss Mariano G. Vallejo Ave, Nssc Medical, Kings Bay, GA 31547 | 2007-10-17 |
| 1013127497 | Cory Dean Sant | Military Health Care Provider | Uss Rhode Island Ssbn 740 (blue), 1059 Uss Georgia Ave, Kings Bay, GA 31547 | 2007-05-23 |
| 1982760492 | Rufus Benjamin Phillips | Pharmacist | Kingsbay Naval Base, Pharmacy, Kingsbay, GA 31547 | 2006-12-29 |
| 1083626949 | Michael Dennis Lappi | Preventive Medicine | Naval Branch Health Clinic Kings Bay, Kings Bay, GA 31547 | 2006-08-12 |
| 1578592838 | Eric Windsor Larson Sr. | Military Health Care Provider | 580 Uss Mariano G Vallejo Ave, Nssc Medical Kings Bay, Kings Bay, GA 31547 | 2006-06-30 |
| 1104894294 | Cary Grinold | Nurse Practitioner | 881 Uss James Madison Road, Naval Ambulatory Care Center, Kings Bay, GA 31547 | 2006-03-14 |
| 1144429507 | Tony Wayne Lyle | Military Health Care Provider | 1061 Uss Tennessee Ave, Kings Bay, GA 31547 | 2007-07-16 |
| 1962634907 | Shanell Feldergoodman | Pharmacy Technician | 871 Uss James Madison, Saint Marys, GA 31547-2531 | 2009-08-10 |
| Find all providers in zip 31547 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992767164 | Patrick Kenneth Link | Physician Assistant | 881 Uss James Madison Rd, Naval Branch Clinic Kings Bay, Kings Bay, GA 31457-2531 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.