DR. JOHN THOMAS DAUGHERTY M.D.
NPI 1306834122
Family Medicine in Clinton, TN

Q: What is John Daugherty's NPI number?

The NPI number for John Daugherty is 1306834122. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Q: What is John Daugherty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Daugherty was last updated on January 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 06, 2005PECOS Enrolled

110 EXECUTIVE PARK DR, CLINTON, TN 37716(865) 494-9241(865) 494-2522 Get Directions Write a Review

NPPES record last updated: January 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. John Thomas Daugherty M.d. NPPES

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

DR. JOHN THOMAS DAUGHERTY M.D. (NPI 1306834122) is an individual family medicine provider in Clinton, Tennessee, licensed in Tennessee (MD0000021373) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306834122

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JOHN THOMAS DAUGHERTYCredential: M.D.

Location Address110 EXECUTIVE PARK DRClinton, TN 37716-6876

Mailing Address110 Executive Park DrClinton, TN 37716-6876 · (865) 494-9241 · Fax (865) 494-2522

Phone(865) 494-9241

Fax(865) 494-2522

Sole ProprietorNo

Enumeration DateOctober 6, 2005

Last NPPES UpdateJanuary 9, 2009

✔ NPI 1306834122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · MD0000021373

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

110 EXECUTIVE PARK DR, Clinton, TN 37716

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Other Identifiers 5

Medicare PIN3062410TN

Other080030188TN · Railroad Medicare

Medicaid3062410TN

Medicare UPINE60303TN

Other125762TN · Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Thomas Daugherty M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37716 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.