Michael G Doherty, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

68642 Issued in TN

Practice address

31 Sandstone Cir
Jackson, TN 38305-2073

Phone

(731) 240-1747

Fax

(731) 240-1755

NPI assigned

Feb 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, TN2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Indiana University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Radiology Associates PAGroup PAC ID 6305893231, 28 clinicians

Jackson Madison County General HospitalGroup PAC ID 3678481975, 55 clinicians

The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Volunteer Community Hospital Hospital, Martin, TN, CCN 440061
• West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060
• West Tennessee Healthcare Bolivar Hospital Hospital, Bolivar, TN, CCN 441320
• West Tennessee Healthcare Camden Hospital Hospital, Camden, TN, CCN 441316

Merit-based Incentive Payment System (MIPS)

Final score

80.15 of 100Reported as group

Quality

74.15

Promoting interoperability

77

Improvement activities

40

Cost

78.84

Merit-based Incentive Payment System (MIPS)

Final score

74.73 of 100Reported as group

Quality

80.7

Improvement activities

40

Cost

51.16

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 32)

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.

• Jackson Madison County General Hospital

  • Diagnostic Radiology Physician
  • Jackson, TN
  • NPI 1891687208

  Diagnostic Radiology, TN

  Medicare reassignment Care Compare group NPD
• Jackson Radiology Associates PA

  • Diagnostic Radiology Physician
  • Jackson, TN
  • NPI 1699700716

  Diagnostic Radiology, MI, TN

  Medicare reassignment Care Compare group NPD
• The West Clinic P.C.

  • Specialist
  • Germantown, TN
  • NPI 1447276605

  TN

  Medicare reassignment Care Compare group NPD
• Jackson Clinic PA

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1285629386

  Diagnostic Radiology, TN

  Medicare reassignment NPD
• Jackson Madison County General Hospital

  • General Practice Physician
  • Jackson, TN
  • NPI 1467493916
  Care Compare group NPD (past)
• Jackson Madison County General Hospital

  • Community/Retail Pharmacy
  • Jackson, TN
  • NPI 1053011791
  Care Compare group
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare group
• Jackson-Madison County General Hospital

  • Community Based Hospice Care Agency
  • Jackson, TN
  • NPI 1104816966
  Care Compare group
• Jackson-Madison County General Hospital

  • Land Ambulance
  • Jackson, TN
  • NPI 1164786257
  Care Compare group
• Jackson-Madison County General Hospital

  • Community/Retail Pharmacy
  • Jackson, TN
  • NPI 1366432122
  Care Compare group
• Jackson-Madison County General Hospital

  • Clinical Medical Laboratory
  • Jackson, TN
  • NPI 1720160708
  Care Compare group
• Jackson Clinic PA

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1689443038
  NPD

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

• Bolivar General Hospital, Inc.

  • Critical Access Hospital
  • Bolivar, TN
  • NPI 1518957950

  Hospital

  Care Compare affiliation
• Camden General Hospital, Inc.

  • Critical Access Hospital
  • Camden, TN
  • NPI 1659347920

  Hospital

  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428

  Hospital

  Care Compare affiliation
• Martin Health

  • General Acute Care Hospital
  • Martin, TN
  • NPI 1275505372

  Hospital

  Care Compare affiliation
• Milan General Hospital, Inc.

  • General Acute Care Hospital
  • Milan, TN
  • NPI 1699765453

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1730154261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SANDSTONE CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052073",
            "telephone_number": "731-240-1747",
            "fax_number": "731-240-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SANDSTONE CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052073",
            "telephone_number": "731-240-1747",
            "fax_number": "731-240-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301087295",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "68642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604658400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Dixon, RDH
• Martha Dixon, RD, LDN
• DLP Medical LLC
• Doc Supply of West Tennessee, LLC
• Pamela Doering
• Heather R Dolan, A.P.R.N.
• Michael Sean Dolan, MD
• Heather Doles
• Sydney Donald, RBT
• Minh Dong

• All providers in Jackson, TN
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.