MARISSA ALLEN MACDONALD NPI 1447040217

NPI Information

  • NPI: 1447040217
  • Provider Name: MARISSA ALLEN MACDONALD
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2764 W MAIN ST
    SNELLVILLE, GA
    ZIP 30078
  • Phone: (770) 978-3388

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NPI Details

Marissa Allen Macdonald is a primary care nurse practitioner in Snellville, GA. Marissa Allen Macdonald NPI is 1447040217. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2764 W MAIN ST
SNELLVILLE, GA
ZIP 30078-708
Phone: (770) 978-3388

The NPI 1447040217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/7/2025 and was last updated on 10/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareAPRN-NP315110GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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