Active NPI
Jordan Nicholle Dever, MD
- Family Medicine Physician
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME167386
- Practice address
- 2400 Lakeview Dr Ste 100
Beavercreek, OH 45431-2581 - Phone
- (937) 429-4369
- NPI assigned
- Apr 29, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.153105 | OH | |
| Family Medicine Physician | 207Q00000X | ME167386 | FL | Primary |
Addresses
Primary practice location
2400 Lakeview Dr Ste 100
Beavercreek, OH 45431-2581
Mailing address
1800 Miccosukee Commons Dr Apt 407
Tallahassee, FL 32308-5436
Phone (740) 285-6303
Other practice location 1
1541 Medical Dr
Tallahassee, FL 32308-4615
Phone (850) 431-7816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, FL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1244 Meadow Bridge Dr
Suite 100
Beavercreek, OH 45434-6388
Phone (937) 208-7600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME167386 | FL | MD | Family Medicine Physician |
| 35.153105 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Mvhe Inc | Family Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Family Medicine | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Family Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Family Medicine | Current | Accepting new patients |
| St. John Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| St John Urgent Care Clinics Inc | Past | Accepting new patients | |
| Mvhe Inc | Past | Accepting new patients |
Locations
15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105
1541 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-7801
1301 Hodges Dr
Tallahassee, FL 32308
Phone (850) 431-5430
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
2400 Lakeview Dr
Ste 100
Beavercreek, OH 45431
Phone (937) 429-4369
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
1244 Meadow Bridge Dr
Ste 100
Beavercreek, OH 45434
Phone (937) 208-7600
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1467
Tulsa, OK 74182
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
7501 Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200
Interoperability endpoints
- jordandever@tmhpp.allscriptsdirect.net
- jdever38174@tallahasseememorial.direct-ci.com
Organizations & group practices 15
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.
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659504785
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
Family Medicine
-
dba Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
dba Muscogee (Creek) Nation Physical Rehabilitation Center
- Rehabilitation Hospital
- Okmulgee, OK
- NPI 1891197224
-
dba Muscogee Healing and Recovery Center
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
dba TMH Physician Partners
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1487932422
-
dba TMHPP Anesthesiology PCB
- Anesthesiology Physician
- Panama City Beach, FL
- NPI 1992532477
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750550400000",
"number": "1508449430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 MICCOSUKEE COMMONS DR APT 407",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085436",
"telephone_number": "740-285-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LAKEVIEW DR STE 100",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312581",
"telephone_number": "937-429-4369"
}
],
"practiceLocations": [
{
"address_1": "1541 Medical Dr",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084615",
"country_code": "US",
"telephone_number": "850-431-7816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVER",
"first_name": "JORDAN",
"middle_name": "NICHOLLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2025-06-22",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.153105",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME167386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; 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.