MEDICARE: DONNA LYNN LONDINO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	047343	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447369632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA LYNN LONDINO MD

Provider Business Mailing Address
First Line	:	1499 WALTON WAY STE 1400
Second Line	:	ATTN: DONNA RAIFORD
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2603
Country	:	US
Telephone Number	:	706-828-8401
Fax Number	:	706-722-7235

Provider Business Practice Location Address
First Line	:	3633 WHEELER RD STE 365
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-6549
Country	:	US
Telephone Number	:	706-432-6866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/23/2025

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Directions to “ DONNA LYNN LONDINO MD” Practice Location

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