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MICHAEL ANDREW DAUGHERTY MPH
NPI 1992415111
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since November 29, 2022PECOS Enrolled
1405 CLIFTON RD NE, ATLANTA, GA 30322(543) 740-4785 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Andrew Daugherty Mph NPPES

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

MICHAEL ANDREW DAUGHERTY MPH (NPI 1992415111) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1992415111
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL ANDREW DAUGHERTYCredential: MPH
Location Address1405 CLIFTON RD NEAtlanta, GA 30322-1060
Mailing Address181 Flat Shoals Ave Se Unit 9Atlanta, GA 30316-1578 · (765) 517-1500
Phone(543) 740-4785
Sole ProprietorNo
Enumeration DateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1992415111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1405 CLIFTON RD NE, Atlanta, GA 30322
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Secondary Practice Locations 3

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 727-5910
Location 280 Jesse Hill Jr Dr SEAtlanta, GA 30303-3050 · Phone (404) 616-1000
Location 31670 Clairmont RdDecatur, GA 30033-4004 · Phone (404) 321-6111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Andrew Daugherty Mph 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.

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.

CARRIE NG MD
Pediatrics (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7141
MR. MARCOS FRANCISCO MILLS MD
Pediatrics (Pediatric Cardiology)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 256-2593
MEAGAN GREEN PNP
Nurse Practitioner (Pediatrics)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6330
EVAN ORENSTEIN MD
Pediatrics
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6104
CAITLIN QUIGLEY CRNA
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
EIMAN ABDULRAHMAN M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7142
CAROL JOHN MD
Student in an Organized Health Care Education/Training Program
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
DR. BRANDON W KIRKLAND M.D.
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6210

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 Michael Daugherty's NPI number?

The NPI number for Michael Daugherty is 1992415111. It was assigned to this individual provider in the NPPES registry on November 29, 2022.

Where is Michael Daugherty located?

Michael Daugherty practices at 1405 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (543) 740-4785.

What is Michael Daugherty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Daugherty enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Daugherty was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.