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DONTRE M DOUSE MD
NPI 1396372694
Otolaryngology in Tifton, GA

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
39 KENT RD STE 2, TIFTON, GA 31794(229) 353-4368 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Jul 3, 2025, Aug 26, 2021 and 3 more (6 updates tracked since 2020).

About Dontre M Douse Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONTRE M DOUSE MD (NPI 1396372694) is an individual otolaryngology provider in Tifton, Georgia, licensed in Georgia (104748) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1396372694
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDONTRE M DOUSECredential: MD
Location Address39 KENT RD STE 2Tifton, GA 31794-1697
Mailing AddressPo Box 2650Tifton, GA 31793-2650
Phone(229) 353-4368
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateMarch 25, 20266 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1396372694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 104748
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 104748 (GA), 30873 (MN), 69872 (MN)
39 KENT RD STE 2, Tifton, GA 31794
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Secondary Practice Location 1

Location 11250 E 66th StSavannah, GA 31404-5704 · Phone (800) 637-2378

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dontre M Douse Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880018274
PECOS Enrollment IDI20250724000356
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Cook Medical Center A Campus Of Tift Reg Med Ctr

Acute Care Hospitals · Adel, GA
OwnershipProprietary
CMS Certification Number110101
Location260 Mj Taylor RoadAdel, GA 31620 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN RICHARDSON MD
Family Medicine
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 388-9393
TIFT REGIONAL HEALTH SYSTEM INC
Otolaryngology
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 353-4368
LACEY HESTER CHILDREE NP
Nurse Practitioner (Family)
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 353-4368
MRS. DEIDRE CELESTE PEACOCK NP
Nurse Practitioner
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 388-9393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dontre Douse's NPI number?

The NPI number for Dontre Douse is 1396372694. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Dontre Douse located?

Dontre Douse practices at 39 Kent Rd Ste 2, Tifton, GA 31794. The listed phone number is (229) 353-4368.

What is Dontre Douse's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Dontre Douse enrolled in Medicare?

Yes. Dontre Douse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Dontre Douse affiliated with any hospitals?

According to CMS data, Dontre Douse is affiliated with Tift Regional Medical Center and Cook Medical Center A Campus Of Tift Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Dontre Douse was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.