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MR. JUSTIN THOMAS DAUGHTRY D.O.
NPI 1003059502
Emergency Medicine in Camp Lejeune, NC

Active since April 13, 2009PECOS Enrolled
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4841 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Justin Thomas Daughtry D.o. NPPES

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

MR. JUSTIN THOMAS DAUGHTRY D.O. (NPI 1003059502) is an individual emergency medicine provider in Camp Lejeune, North Carolina, licensed in Michigan (5101018326) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1003059502
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. JUSTIN THOMAS DAUGHTRYCredential: D.O.
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575
Mailing Address106 Bargate DrNew Bern, NC 28562-8412
Phone(910) 450-4841
Sole ProprietorYes
Enumeration DateApril 13, 2009
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1003059502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101018326
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 BREWSTER BLVD, Camp Lejeune, NC 28547
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Secondary Practice Location 1

Location 1317 Western BlvdJacksonville, NC 28546-6338 · Phone (910) 577-2345

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Justin Thomas Daughtry D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Justin Daughtry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tarheel Emergency Group, PLLC
4.0 mi
Emergency Medicine
317 WESTERN BLVD
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 108 clinicians in this Medicare group
NPI 1386388874 (910) 577-2345
Emergency Coverage, LLC
341 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200

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 28547 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

MR. JASON HUSON GIECKO
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 451-5125
MRS. HOLLY F CARTER LPT
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2538
JEREMY MOORE CRNA
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4357
DANIELLE BERNAL MD
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4860
ZAINAB AL CHALABI SAVARD APRN
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2779
SAMANTHA ELIZABETH KING MD
Military Health Care Provider
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4408
MATTHEW PATRICK SULLIVAN MD
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4159
HANNAH JUNE MCCLOUD ATC, PTA
Specialist/Technologist (Athletic Trainer)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-8901

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 Justin Daughtry's NPI number?

The NPI number for Justin Daughtry is 1003059502. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Where is Justin Daughtry located?

Justin Daughtry practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4841.

What is Justin Daughtry's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Daughtry enrolled in Medicare?

Yes. Justin Daughtry is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Daughtry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Daughtry reassigns Medicare benefits to 2 organizations: Tarheel Emergency Group, PLLC (Jacksonville, NC) and Emergency Coverage, LLC (Newport, TN). Each 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 Justin Daughtry'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 Justin Daughtry was last updated on January 17, 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.