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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show John Daugherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Group, Inc.
17 mi
Family Medicine
1420 CENTERPOINT BLVD
Knoxville, TN 37932
  • Reassigned Medicare billing, Tennessee enrollment
  • 504 clinicians in this Medicare group
NPI 1457302010 (865) 374-5200

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 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.

Other Providers at the Same Location NPPES 14

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

DR. CHRISTOPHER RYAN HAGENSON DO
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Anderson County (865) 494-9241
DR. THOMAS TERRELL MD
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Anderson County (865) 494-9241
MARY KOCHMAN DO
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Anderson County (865) 494-9241
MELISSA JANE WILSON NP
Nurse Practitioner
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Anderson County (865) 494-9241
DR. LAWRENCE HOOKMAN M.D.
Internal Medicine (Interventional Cardiology)
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Anderson County (865) 494-9241
DR. ELIZABETH M HARREL M.D.
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Anderson County (865) 494-9241
HOWARD B MCNEELEY M.D.
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Anderson County (865) 494-9241
DR. JOSEPH L THOMPSON III M.D.
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Anderson County (865) 494-9241

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 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.

Where is John Daugherty located?

John Daugherty practices at 110 Executive Park Dr, Clinton, TN 37716. The listed phone number is (865) 494-9241.

What is John Daugherty's specialty?

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

Is John Daugherty enrolled in Medicare?

Yes. John Daugherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Daugherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Daugherty reassigns Medicare benefits to Covenant Medical Group, Inc. (Knoxville, TN). The 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 John Daugherty'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 John Daugherty was last updated on January 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.