Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donya Boatwright-Johnson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124862065

Donya Boatwright-Johnson is a Nurse Practitioner in Loganville, Georgia. Qualified in 2024, 2 years ago. Practices with Stedfast Medical Services LLC, a 46-clinician group. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024

Practice location Address checks out

996 Spanish Moss Trl
Loganville, GA 30052-6763
Phone: (470) 306-1325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11033523 (FL)

Record details

NPI number1124862065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address996 Spanish Moss Trl, Loganville, GA 30052-6763

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Stedfast Medical Services Llc — 46 clinicians
Accepts Medicare assignment Not indicated

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