NPIMap

Individual provider Active NPI

Harold Avon Doll Jr., MD

  • Nephrology Physician
  • Tallahassee, FL
National Provider Identifier
1093717654
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME48984 Issued in FL
Practice address
2617 Mitcham Dr Ste 102
Tallahassee, FL 32308-5479
Phone
(850) 878-1171
Fax
(850) 942-1291
NPI assigned
Aug 12, 2005
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME48984 FL Primary

Addresses

Primary practice location

2617 Mitcham Dr Ste 102
Tallahassee, FL 32308-5479

Mailing address

2617 Mitcham Dr Ste 102
Tallahassee, FL 32308-5479
Phone (850) 878-1171

Other identifiers 1

IdentifierTypeStateIssuer
060754100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000022 FL Practitioner - NephrologyPractitioner - Internal Medicine 0547342834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Oral Roberts University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Nephrology AssociatesGroup PAC ID 9436242211, 9 clinicians

Practice addresses (Care Compare)

2617 Mitcham Dr
Suite 102
Tallahassee, FL 32308-5479
Phone (850) 878-1171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 23, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 23, 2025 Accepting new patients
North Florida Nephrology Associates Nephrology CurrentSince Aug 4, 1986 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

2617 Mitcham Dr
Ste 102
Tallahassee, FL 32308
Phone (850) 878-1171

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72257
  • Direct secure messaging: clinical@nfna.directbygreenway.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tallahassee Memorial Behavior Health CenterTallahassee, FL, CCN 10S135 Hospital Corporate Director Oct 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1093717654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 MITCHAM DR STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085479",
            "telephone_number": "850-878-1171",
            "fax_number": "850-942-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 MITCHAM DR STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085479",
            "telephone_number": "850-878-1171",
            "fax_number": "850-942-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "HAROLD",
        "middle_name": "AVON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME48984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060754100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.