RICHARD A. DOUGHERTY, MD, PA
NPI 1245429794
Internal Medicine in Charlotte, NC

Active since October 22, 2007CLIA 34D0911307 · Waiver
10450 PARK RD, SUITE 200, CHARLOTTE, NC 28210(704) 541-9002(704) 542-6701 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2023, Aug 17, 2022 (2 updates tracked since 2022).

About Richard A. Dougherty, Md, Pa NPPES

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

RICHARD A. DOUGHERTY, MD, PA (NPI 1245429794) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Darlene Philibert Dougherty, Manager, as its authorized official.

NPPES Registry Identity

NPI1245429794
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRICHARD A. DOUGHERTY, MD, PA
Location Address10450 PARK RD, SUITE 200Charlotte, NC 28210-8403
Mailing Address10450 Park Rd, Suite 200Charlotte, NC 28210-8403 · (704) 541-9002 · Fax (704) 542-6701
Fax(704) 542-6701
Organization SubpartNo
Authorized OfficialDarlene Philibert DoughertyManager · (704) 541-9002
Enumeration DateOctober 22, 2007
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1245429794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 9300686
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.

10450 PARK RD, Charlotte, NC 28210

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0911307

Richard A Dougherty MD PA · Charlotte, NC
Active · expires Jan 30, 2028
CLIA Number34D0911307
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorRichard A. Dougherty MD
Laboratory Phone(704) 541-9001
Laboratory LocationRichard A Dougherty MD PA10450 Park Rd Ste 200, Charlotte, NC 28210
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
10450 PARK RD, ST 200
CHARLOTTE, NC 28210
Internal Medicine
10450 PARK RD, STE 200
CHARLOTTE, NC 28210

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 Richard A. Dougherty, MD, PA's NPI number?

The NPI number for Richard A. Dougherty, MD, PA is 1245429794. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Richard A. Dougherty, MD, PA located?

Richard A. Dougherty, MD, PA is located at 10450 Park Rd Suite 200, Charlotte, NC 28210. The listed phone number is (704) 541-9002.

What is Richard A. Dougherty, MD, PA's specialty?

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

Does Richard A. Dougherty, MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0911307) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Richard A. Dougherty, MD, PA was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.