Organization Active NPI

Yarmouth Direct Primary Care PLLC

  • Internal Medicine Physician
  • Yarmouth, ME
National Provider Identifier
1629877253
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
YARMOUTH DIRECT PRIMARY CARE PLLC
Practice address
500 US Route 1 Ste 107
Yarmouth, ME 04096-6816
Phone
(207) 560-0415
Fax
(207) 606-7624
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Dr. John L Daggett Jr., MDNPI 1881006831
Title
Owner/Physician
Phone
(207) 459-8751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

500 US Route 1 Ste 107
Yarmouth, ME 04096-6816

Mailing address

500 US Route 1 Ste 107
Yarmouth, ME 04096-6816
Phone (207) 560-0415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422003040 ME Part B Supplier - Clinic/Group Practice 2163947102 Receives reassigned benefits from 1 practitioner
Practice locations: Yarmouth, ME

National Provider Directory

National Provider Directory

Locations

500 US Route 1
Ste 107
Yarmouth, ME 04096
Phone (207) 560-0415

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1629877253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 US ROUTE 1 STE 107",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966816",
            "telephone_number": "207-560-0415",
            "fax_number": "207-606-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 US ROUTE 1 STE 107",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966816",
            "telephone_number": "207-560-0415",
            "fax_number": "207-606-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARMOUTH DIRECT PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "DAGGETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "207-459-8751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.