JEFFREY ALLEN DONOHUE – Family Medicine Physician, NPI 1639100480

JEFFREY ALLEN DONOHUE is a healthcare provider. based in Canton, Georgia. specializing in FAMILY PRACTICE. They hold a License No. 046540 (GA). The NPI Number for JEFFREY ALLEN DONOHUE is 1639100480

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY ALLEN DONOHUE
NPI
1639100480
Phone
(770) 720-1880
Address
3755 SIXES RD
Enumeration Date
6 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
7707201880
Graduation Year
1995 (31 years ago)
PAC ID
7618980053
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20110317000457
Address ID
GA301147842CA3755XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for JEFFREY ALLEN DONOHUE

  • 3755 SIXES RD

    SUITE 202

    CANTON, GA 301147842

    Phone: (770) 720-1880

    Fax: (770) 704-7162

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $539.

Total Amount is formed as General ($539) + Research ($0) + Ownership ($0) = $539.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($99).

Total Amount

$539

General + Research + Ownership

Payments

26

Total payment records

General Amount

$539

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110317000457IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes209156$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9999$0
90662Influenza vaccine split virus, preservative free2121$0
G0008Administration of influenza virus vaccine2121$0
View full utilization report →

Insurance plans in this area (ZIP 30114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do payers reference JEFFREY ALLEN DONOHUE?
For JEFFREY ALLEN DONOHUE, use NPI 1639100480 as the unique 10-digit identifier.
Is JEFFREY ALLEN DONOHUE still an active registrant?
JEFFREY ALLEN DONOHUE carries an active NPI according to the public dataset.
What kind of doctor is JEFFREY ALLEN DONOHUE?
JEFFREY ALLEN DONOHUE is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEFFREY ALLEN DONOHUE?
Travel planning: use Canton, Georgia as the reference point for JEFFREY ALLEN DONOHUE, then confirm.
Can I trust this NPI listing for JEFFREY ALLEN DONOHUE?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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