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DAUGHERTY AND DAUGHERTY MEDICAL CLINIC PA
NPI 1942268123
Family Medicine in Jacksonville, AR

Active since May 03, 2006
1409 BRADEN ST, JACKSONVILLE, AR 72076(501) 982-0576(501) 982-0041 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daugherty And Daugherty Medical Clinic Pa NPPES

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

DAUGHERTY AND DAUGHERTY MEDICAL CLINIC PA (NPI 1942268123) is a healthcare organization registered as a family medicine in Jacksonville, Arkansas and active in the NPI registry since May 2006. The organization lists Joe D Daugherty, President, as its authorized official.

NPPES Registry Identity

NPI1942268123
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAUGHERTY AND DAUGHERTY MEDICAL CLINIC PA
Location Address1409 BRADEN STJacksonville, AR 72076-3720
Mailing Address1409 West BradenJacksonville, AR 72076 · (501) 982-0576 · Fax (501) 982-0041
Phone(501) 982-0576
Fax(501) 982-0041
Organization SubpartNo
Authorized OfficialJoe D DaughertyPresident · (501) 982-0576
Enumeration DateMay 3, 2006
Last NPPES UpdateFebruary 7, 2020
✔ NPI 1942268123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1409 BRADEN ST, Jacksonville, AR 72076
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Other Identifiers 3

Other04D0466369AR · Clia
Medicaid104806002AR
OtherCS4952Rr Mcr Clinic #

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daugherty And Daugherty Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Daugherty And Daugherty Medical Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Daugherty, M.D.
Emergency Medicine
NPI 1124076922
1409 BRADEN ST
Jacksonville, AR 72076
(501) 982-0576
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Daugherty And Daugherty Medical Clinic PA's NPI number?

The NPI number for Daugherty And Daugherty Medical Clinic PA is 1942268123. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Daugherty And Daugherty Medical Clinic PA located?

Daugherty And Daugherty Medical Clinic PA is located at 1409 Braden St, Jacksonville, AR 72076. The listed phone number is (501) 982-0576.

What is Daugherty And Daugherty Medical Clinic PA's specialty?

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

Is Daugherty And Daugherty Medical Clinic PA enrolled in Medicare?

Yes. Daugherty And Daugherty Medical Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Daugherty And Daugherty Medical Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Daugherty And Daugherty Medical Clinic PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Daugherty And Daugherty Medical Clinic PA accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Daugherty And Daugherty Medical Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daugherty And Daugherty Medical Clinic PA was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.