Jon Harrell Docherty Jr., MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

20811 Issued in SC

Practice address

600 E Palmetto St
Florence, SC 29506

Phone

(843) 667-9414

Fax

(843) 667-1362

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

RheumatologyAlso: Internal Medicine

Education

University of South Carolina School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hopehealth, Inc.Group PAC ID 4082510623, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070
• McLeod Health Clarendon Hospital, Manning, SC, CCN 420109

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEAHAD
• Direct secure messaging: jon.docherty@hop.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GCAHAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hopehealth Inc

  dba HopeHealth Dental Palmetto

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1821002411
  Medicare reassignment Care Compare group NPD
• Hopehealth Therapeutics LLC

  • Rheumatology Physician
  • Florence, SC
  • NPI 1912884594
  Medicare reassignment NPD
• Sumter Medical Specialists PA

  • Nephrology Physician
  • Sumter, SC
  • NPI 1619069481
  Medicare reassignment NPD
• Jon H. Docherty, MD

  dba Pee Dee Internal Medicine

  • Multi-Specialty Clinic/Center
  • Florence, SC
  • NPI 1013957521
  NPD (past) Authorized official
• Carolina Diabetes & Kidney Center, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Sumter, SC
  • NPI 1689128951

  Rheumatology

  NPD
• Hopehealth Inc

  dba HopeHealth J. Paul Truluck School-based Health Center

  • Federally Qualified Health Center (FQHC)
  • Lake City, SC
  • NPI 1649069618
  NPD
• Hopehealth, Inc.

  dba HopeHealth Specialty Services Irby

  • Endocrinology, Diabetes & Metabolism Physician
  • Florence, SC
  • NPI 1881989580
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLeod Health Clarendon

  • Rural Acute Care Hospital
  • Manning, SC
  • NPI 1205284411
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Tuomey Hosptial

  • General Acute Care Hospital
  • Sumter, SC
  • NPI 1326043548
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1336185057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 W Wesmark Blvd",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291501900",
            "country_code": "US",
            "telephone_number": "803-469-7500 x468",
            "fax_number": "803-469-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCHERTY",
        "first_name": "JON",
        "middle_name": "HARRELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "20811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208117",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "AA85152293",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Love Homecare LLC
• Divyne Companion Care
• Divyne Transportation Services, LLC
• Dixon Drug Co., Inc.
• Kristie Haire Dixon, REGISTERED NURSE
• Rebecca Hart Docherty
• Doctor Jordanna Baker, LLC (Best Foot Forward Surgical Podiatry)
• Doctors Care SC, PA (Doctors Care South Irby)
• Doctors Care SC, PA (Doctors Care Hoffmeyer Road)
• Jennifer Kaye Dodd, LPC, ADC

• Rheumatology Physician in Florence, SC
• Providers in Florence, SC by specialty
• Rheumatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.