Active NPI
John Douglas Dortch III, M.D
- Surgery Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME117612
- Practice address
- 1401 Centerville Rd Ste 100
Tallahassee, FL 32308-4638 - Phone
- (850) 431-2100
- NPI assigned
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME117612 | FL | Primary |
| Surgery Physician | 208600000X | 078019 | GA |
Addresses
Primary practice location
1401 Centerville Rd Ste 100
Tallahassee, FL 32308-4638
Mailing address
PO Box 748967
Atlanta, GA 30374-8967
Phone (850) 431-7289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Florida College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Centerville Rd
Suite G02
Tallahassee, FL 32308-4638
Phone (850) 431-2100
Hospital & facility affiliations
- Tallahassee Memorial Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078019 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Surgery | Current | Accepting new patients |
Locations
1401 Centerville Rd
Ste 100
Tallahassee, FL 32308
Phone (850) 877-5183
1405 Centerville Rd
Ste 4400
Tallahassee, FL 32308
Phone (850) 431-2100
1401 Centerville Rd
Ste G02
Tallahassee, FL 32308
Phone (850) 431-2100
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
Interoperability endpoints
- jdortch21892@tallahasseememorial.direct-ci.com
- johndortch@tmhpp.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Surgery Physician
- Tallahassee, FL
- NPI 1174888549
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1487932422
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1114284908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748967",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748967",
"telephone_number": "850-431-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 CENTERVILLE RD STE 100",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084638",
"telephone_number": "850-431-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORTCH",
"first_name": "JOHN",
"middle_name": "DOUGLAS",
"name_suffix": "III",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME117612",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "078019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.