Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Elyceia Mona Dortch, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700205879

Dr. Elyceia Mona Dortch, MD is a Geriatric Medicine in Atlanta, Georgia. Graduated from Medical College of Georgia School of Medicine in 2014, 12 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
12
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2525 Cumberland Pkwy SE
Atlanta, GA 30339-3915
Phone: (470) 698-0239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5596 Marbut Rd, Lithonia, GA 30058-7855 — (404) 444-5634

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence 80280 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700205879
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address60 11th St Ne Apt 714, Atlanta, GA 30309-4362

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGERIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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