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

Mrs. Donna Van Bladel Wall, NP

Individual provider Nurse Practitioner · NPI 1184603045

Mrs. Donna Van Bladel Wall, NP is a Nurse Practitioner in Hiram, Georgia. Qualified in 2001, 25 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
25
Licensed in
GA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

144 Bill Carruth Pkwy Ste 3100
Hiram, GA 30141-3819
Phone: (678) 363-1940
Fax: (678) 581-7110
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-NP134321 (GA)

Record details

NPI number1184603045
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Hiram