MR. DONALD E SALLY (PA) – Medical Physician Assistant, NPI 1154417277

MR. DONALD E SALLY (PA) is a healthcare provider. based in Lilburn, Georgia. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. 002071 (GA). The NPI Number for MR. DONALD E SALLY (PA) is 1154417277

Main info

Male
Name
MR. DONALD E SALLY (PA)
NPI
1154417277
Phone
(770) 921-4811
Address
4030 LAWRENCEVILLE HWY NW
Enumeration Date
5 October 2006
Last Update Date
23 March 2016
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

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Provider Addresses for MR. DONALD E SALLY (PA)

  • 4030, Lawrenceville Highway, Luxomni, Lilburn, Gwinnett County, Georgia, 30052, United States

    LILBURN, GA 300473011

    Phone: (770) 921-4811

    Fax: (770) 921-7943

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 30047)

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Reviews

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Frequently asked questions

Is there an official ID for MR. DONALD E SALLY (PA) in U.S. healthcare records?
The official identifier for MR. DONALD E SALLY (PA) is NPI 1154417277.
Would MR. DONALD E SALLY (PA) appear as active to a payer?
You can treat MR. DONALD E SALLY (PA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. DONALD E SALLY (PA)'s focus?
For MR. DONALD E SALLY (PA), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. DONALD E SALLY (PA)?
Directory geography for MR. DONALD E SALLY (PA) centers on Lilburn, Georgia.
When was this NPI issued?
Enumeration for MR. DONALD E SALLY (PA) is noted as October 5, 2006 where the registry provides it.

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