Individual provider Active NPI

Jordan Nicholle Dever, MD

  • Family Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1508449430
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME167386 Issued in FL
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

Updated by the provider on Jun 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230207000272 OK Practitioner - Family Practice 9537531256 Reassigns benefits to 2 organizations
I20231219003809 TX Practitioner - Family Practice 9537531256 Reassigns benefits to 1 organization
I20240827000368 FL Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 9537531256 Reassigns benefits to 1 organization
I20250724002991 OH Practitioner - Family Practice 9537531256 Reassigns benefits to 1 organization

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
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

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 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME167386FLMDFamily Medicine Physician
35.153105OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Aug 18, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Mvhe Inc Family Medicine CurrentSince Aug 18, 2025 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 CurrentSince Oct 26, 2022 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Nov 30, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 30, 2023 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Jul 8, 2024 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Oct 26, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 30, 2023 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Jul 8, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
St John Urgent Care Clinics Inc PastSince May 1, 2021 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

  • Direct secure messaging: jordandever@tmhpp.allscriptsdirect.net
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.