PAUL S DAUGHERTY MD
NPI 1144383738
Internal Medicine in Hendersonville, TN

Active since December 18, 2006Opted out of Medicare · through Jul 1, 2027
107 IMPERIAL BLVD, SUITE 5, HENDERSONVILLE, TN 37075(615) 826-3111(615) 826-3112 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul S Daugherty Md NPPES

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

PAUL S DAUGHERTY MD (NPI 1144383738) is an individual internal medicine provider in Hendersonville, Tennessee, licensed in Tennessee (MD11629) and active in the NPI registry since December 2006. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1144383738
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL S DAUGHERTYCredential: MD
Location Address107 IMPERIAL BLVD, SUITE 5Hendersonville, TN 37075
Mailing AddressPo Box 1734Hendersonville, TN 37077-1734 · (615) 826-3111 · Fax (615) 826-3112
Fax(615) 826-3112
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1144383738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · MD11629
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
107 IMPERIAL BLVD, Hendersonville, TN 37075

Other Identifiers 4

Other1067920Cigna
Other4004046Bc
Medicare UPINB03249
Medicare ID-Type Unspecified3167876

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Paul S Daugherty Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Cardiovascular Disease)
107 IMPERIAL BLVD, STE.11
HENDERSONVILLE, TN 37075
Specialist
107 IMPERIAL BLVD, SUITE 4
HENDERSONVILLE, TN 37075
Pharmacy (Compounding Pharmacy)
107 IMPERIAL BLVD, SUITE 9
HENDERSONVILLE, TN 37075
Surgery
107 IMPERIAL BLVD, SUITE 3
HENDERSONVILLE, TN 37075
Plastic Surgery
107 IMPERIAL BLVD, STE 15
HENDERSONVILLE, TN 37075
Anesthesiology
107 IMPERIAL BLVD, STE 15
HENDERSONVILLE, TN 37075
Counselor (Mental Health)
107 IMPERIAL BLVD
HENDERSONVILLE, TN 37075
Ophthalmology
107 IMPERIAL BLVD, #8
HENDERSONVILLE, TN 37075

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 Paul Daugherty's NPI number?

The NPI number for Paul Daugherty is 1144383738. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Paul Daugherty located?

Paul Daugherty practices at 107 Imperial Blvd Suite 5, Hendersonville, TN 37075. The listed phone number is (615) 826-3111.

What is Paul Daugherty's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Daugherty enrolled in Medicare?

No. Paul Daugherty has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Paul Daugherty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.