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CANDIS L DAUGHERTY NP
NPI 1528477569
Nurse Practitioner - Family in Kingsport, TN

Active since August 04, 2014PECOS Enrolled
111 W STONE DR, SUITE 100, KINGSPORT, TN 37660(423) 247-5197(423) 247-5254 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candis L Daugherty Np NPPES

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

CANDIS L DAUGHERTY NP (NPI 1528477569) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (19986) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528477569
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDIS L DAUGHERTYCredential: NP
Location Address111 W STONE DR, SUITE 100Kingsport, TN 37660-6027
Mailing Address105 W Stone Dr, Suite 6aKingsport, TN 37660-3365 · (423) 408-7220 · Fax (423) 408-7405
Phone(423) 247-5197
Fax(423) 247-5254
Sole ProprietorNo
Enumeration DateAugust 4, 2014
Last NPPES UpdateFebruary 18, 2016
✔ NPI 1528477569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 19986
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5007061 (NC)
111 W STONE DR, Kingsport, TN 37660
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN1035I03831TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candis L Daugherty Np 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 37660 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. MICHAEL DAHYL BOGGAN M.D.
General Practice
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
LARRY J FOSTER M.D.
Internal Medicine (Pulmonary Disease)
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
PULMONARY ASSOCIATES OF KINGSPORT
Specialist
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
KATHRYN A. HARRIS NP
Nurse Practitioner (Family)
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
MORGAN A. CABELL NP
Nurse Practitioner (Family)
111 W STONE DR, SUITE 110
KINGSPORT, TN 37660
Sullivan County (423) 224-3701
LUCINDA MILLER M.D.
Internal Medicine (Pulmonary Disease)
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197
KAYLA J JOYCE NP
Nurse Practitioner (Family)
111 W STONE DR, SUITE 110
KINGSPORT, TN 37660
Sullivan County (423) 224-3701
NEKISHA S. JOHNSON NP
Nurse Practitioner (Family)
111 W STONE DR, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 247-5197

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 Candis Daugherty's NPI number?

The NPI number for Candis Daugherty is 1528477569. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Candis Daugherty located?

Candis Daugherty practices at 111 W Stone Dr Suite 100, Kingsport, TN 37660. The listed phone number is (423) 247-5197.

What is Candis Daugherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Candis Daugherty enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Candis Daugherty was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.