Individual provider Active NPI

Isabelle Dortonne, MD

  • Ophthalmology Physician
  • Roswell, GA
National Provider Identifier
1669904918
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
93114 Issued in GA
Practice address
11690 Alpharetta Hwy
Roswell, GA 30076-3805
Phone
(770) 475-5515
Fax
(770) 343-8884
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD049236 DC
Ophthalmology Physician 207W00000X 93114 GA Primary

Addresses

Primary practice location

11690 Alpharetta Hwy
Roswell, GA 30076-3805

Mailing address

11690 Alpharetta Hwy
Roswell, GA 30076-3805
Phone (770) 475-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221007002443 GA Practitioner - Ophthalmology 6305236514 Reassigns benefits to 1 organization
I20250803000088 FL Practitioner - Ophthalmology 6305236514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93114GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Group PC Ophthalmology Current Accepting new patients
Thomas Eye Group PC Ophthalmology CurrentSince Sep 6, 2022 Accepting new patients
Crystal River Eye Center,LLC Ophthalmology CurrentSince Aug 4, 2025 Accepting new patients
Medikwa, Inc Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients
Thomas Eye Group PC CurrentSince Sep 6, 2022 Accepting new patients

Locations

295 SE US Highway 19
Crystal River, FL 34429
Phone (352) 795-6622

3920 Bee Ridge Rd
Ste A-A
Sarasota, FL 34233
Phone (941) 867-7463

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

5901 Peachtree Dunwoody Rd
Ste 500
Sandy Springs, GA 30328
Phone (678) 781-7373

149 Towne Lake Pkwy
Ste 102
Woodstock, GA 30188
Phone (770) 928-4544

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: idortonne@teg.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1669904918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11690 ALPHARETTA HWY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763805",
            "telephone_number": "770-475-5515",
            "fax_number": "770-343-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11690 ALPHARETTA HWY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763805",
            "telephone_number": "770-475-5515",
            "fax_number": "770-343-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORTONNE",
        "first_name": "ISABELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD049236",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "93114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.