MISS NDOME CHAVONE DOUGHERTY ANP-C
NPI 1548513690
Nurse Practitioner in Charlotte, NC

Active since October 25, 2012PECOS Enrolled
2711 RANDOLPH ROAD, STE 100, CHARLOTTE, NC 28207(704) 342-1900(704) 377-0353 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Ndome Chavone Dougherty Anp-c NPPES

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

MISS NDOME CHAVONE DOUGHERTY ANP-C (NPI 1548513690) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5005896) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548513690
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS NDOME CHAVONE DOUGHERTYCredential: ANP-C
Location Address2711 RANDOLPH ROAD, STE 100Charlotte, NC 28207-2027
Mailing Address2711 Randolph Road, Ste 100Charlotte, NC 28207-2027 · (704) 342-1900 · Fax (704) 377-0353
Fax(704) 377-0353
Sole ProprietorNo
Enumeration DateOctober 25, 2012
NPI 1548513690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5005896
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinical Nurse Specialist · OncologyTaxonomy 364SX0200X · License 5005896 (NC)
2711 RANDOLPH ROAD, Charlotte, NC 28207

Other Names 1

Other Name (5)Miss Doe Chavone Dougherty Anp-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Ndome Chavone Dougherty Anp-c 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 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 7

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

Clinic/Center (Occupational Medicine)
2711 RANDOLPH ROAD, SUITE 301
CHARLOTTE, NC 28207
Internal Medicine (Cardiovascular Disease)
2711 RANDOLPH ROAD, SUITE 305
CHARLOTTE, NC 28207
Clinic/Center (Health Service)
2711 RANDOLPH ROAD, SUITE 301
CHARLOTTE, NC 28207
Dentist
2711 RANDOLPH ROAD, SUITE 202
CHARLOTTE, NC 28207
Obstetrics & Gynecology
2711 RANDOLPH ROAD, SUITE 512
CHARLOTTE, NC 28207
Clinic/Center (Urgent Care)
2711 RANDOLPH ROAD
CHARLOTTE, NC 28207
Clinic/Center (Occupational Medicine)
2711 RANDOLPH ROAD, SUITE #301
CHARLOTTE, NC 28207

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 Ndome Dougherty's NPI number?

The NPI number for Ndome Dougherty is 1548513690. It was assigned to this individual provider in the NPPES registry on October 25, 2012. The provider is also known as Miss Doe Chavone Dougherty Anp-C.

Where is Ndome Dougherty located?

Ndome Dougherty practices at 2711 Randolph Road Ste 100, Charlotte, NC 28207. The listed phone number is (704) 342-1900.

What is Ndome Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ndome Dougherty enrolled in Medicare?

Yes. Ndome Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ndome Dougherty was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.