DR. ELYCEIA MONA DORTCH M.D.
NPI 1700205879
Family Medicine - Hospice and Palliative Medicine in Atlanta, GA

Q: What is Elyceia Dortch's NPI number?

The NPI number for Elyceia Dortch is 1700205879. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Elyceia Dortch's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Q: When was this NPI record last updated?

The NPPES record for Elyceia Dortch was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment

2525 CUMBERLAND PKWY SE, ATLANTA, GA 30339(470) 698-0239 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2022, Nov 1, 2018 (2 updates tracked since 2018).

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About Dr. Elyceia Mona Dortch M.d. NPPES

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

DR. ELYCEIA MONA DORTCH M.D. (NPI 1700205879) is an individual hospice and palliative medicine provider in Atlanta, Georgia, licensed in Georgia (80280) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lithonia, and is a graduate of Medical College Of Georgia School Of Medicine (2014).

NPPES Registry Identity

NPI1700205879

Entity TypeIndividualFemale

Primary Taxonomy207QH0002X

Provider Legal NameDR. ELYCEIA MONA DORTCHCredential: M.D.

Location Address2525 CUMBERLAND PKWY SEAtlanta, GA 30339-3915

Mailing Address60 11th St Ne Apt 714Atlanta, GA 30309-4362 · (404) 444-5634

Phone(470) 698-0239

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2014

Enumeration DateApril 15, 2014

Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2024

✔ NPI 1700205879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QH0002X

License✔ Licensed in GA · 80280

Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2525 CUMBERLAND PKWY SE, Atlanta, GA 30339

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Secondary Practice Location 1

Location 15596 Marbut RdLithonia, GA 30058-7855 · Phone (404) 444-5634

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elyceia Mona Dortch M.d. 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 ID2466726393

PECOS Enrollment IDI20181106002641

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.

Medicare Billing Reassignment

Medicare enrollment records show Elyceia Dortch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group

6.0 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30339 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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 20

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

WINKLER G WEINBERG MD

Internal Medicine (Infectious Disease)

2525 CUMBERLAND PKWY SE, DEPARTMENT OF INFECTIOUS DISEASE
ATLANTA, GA 30339

Cobb County (770) 431-4360

JENNIFER A FRIEDBERG MD

Psychiatry & Neurology (Psychiatry)

2525 CUMBERLAND PKWY SE, KAISER PERMANENTE CUMBERLAND MEDICAL CENTER
ATLANTA, GA 30339

Cobb County (770) 431-4145

EDUARDO A BAETTI MD

Internal Medicine (Rheumatology)

2525 CUMBERLAND PKWY SE, DEPARTMENT OF RHEUMATOLOGY
ATLANTA, GA 30339

Cobb County (770) 431-4186

CORRIE CREWS PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

2525 CUMBERLAND PKWY SE
ATLANTA, GA 30339

Cobb County (770) 431-4577

VAIDARBHI NARASA KOLAVENNU MD

Family Medicine

2525 CUMBERLAND PKWY SE, DEPARTMENT OF INTERNAL MEDICINE AFTER HOURS CARE
ATLANTA, GA 30339

Cobb County (770) 431-4235

JULIE R OLIVER PH.D.

Psychologist (Clinical Child & Adolescent)

2525 CUMBERLAND PKWY SE, KAISER PERMANENTE CUMBERLAND MEDICAL CENTER
ATLANTA, GA 30339

Cobb County (770) 431-4235

ELHAM M SYED MD

Internal Medicine

2525 CUMBERLAND PKWY SE, INTERNAL MEDICINE HEALTH CARE TEAM A
ATLANTA, GA 30339

Cobb County (770) 431-4305

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.

Clinical Medical Laboratory

2525 CUMBERLAND PKWY SE
ATLANTA, GA 30339

Cobb County (770) 431-4134

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 Elyceia Dortch's NPI number?

The NPI number for Elyceia Dortch is 1700205879. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Elyceia Dortch located?

Elyceia Dortch practices at 2525 Cumberland Pkwy SE, Atlanta, GA 30339. The listed phone number is (470) 698-0239.

What is Elyceia Dortch's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Elyceia Dortch enrolled in Medicare?

Yes. Elyceia Dortch 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.

Which organization bills Medicare for Elyceia Dortch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elyceia Dortch reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elyceia Dortch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elyceia Dortch was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.