DONECIA INGRAM – Women's Health Nurse Practitioner, NPI 1780429506

DONECIA INGRAM is a healthcare provider. based in Lithonia, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. 280726 (GA). The NPI Number for DONECIA INGRAM is 1780429506

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
DONECIA INGRAM
NPI
1780429506
Phone
Not provided
Address
5796 KEYSTONE GRV
Enumeration Date
25 June 2024
Last Update Date
8 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2025 (1 year ago)
PAC ID
2264910272
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20260131000701
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for DONECIA INGRAM

  • 5796 KEYSTONE GRV

    LITHONIA, GA 300585692

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-31

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
I20260131000701INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30058)

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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

Is DONECIA INGRAM listed with a National Provider Identifier?
Yes — DONECIA INGRAM has NPI 1780429506 on file in the registry.
Active or inactive — what applies to DONECIA INGRAM?
You should see DONECIA INGRAM as active in CMS-hosted NPPES data.
What clinical focus is listed for DONECIA INGRAM?
At a glance, DONECIA INGRAM is tied to Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is DONECIA INGRAM registered?
Use Lithonia, Georgia as the headline location for DONECIA INGRAM here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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