EDWIN H. DONNELLY M.D. – NPI #1053315457
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

EDWIN DONNELLY is an ophthalmologist located in ATLANTA, GA. NPPES has assigned the NPI number 1053315457 to EDWIN DONNELLY on June 13, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 9 years ago on Oct 04, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWIN DONNELLY below.

NPI Profile for
EDWIN H. DONNELLY

NPI Number
1053315457
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDWIN H. DONNELLY
Credentials
M.D.
Primary location
975 JOHNSON FERRY RD NE
SUITE 370
ATLANTA, GA 30342-1619
Phone: (404) 250-1242 Fax: (404) 250-1232
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for EDWIN DONNELLY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERTAX IDGA581425151
MEDICAIDGA00154206B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
GA 019156
207W00000X
- Ophthalmology
GA 019156

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.