Grant Daugherty

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

46242 Issued in OK

Practice address

1111 W 17TH St
Tulsa, OK 74107-1886

Phone

(918) 236-4000

NPI assigned

May 18, 2020

Last updated

Sep 17, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OK

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

Psychiatry

Education

University of Oklahoma College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gdaugherty193027@direct.saintfrancis.com

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

• Oklahoma State University

  dba OSU Speech-Language-Hearing Clinic

  • Speech-Language Pathologist
  • Stillwater, OK
  • NPI 1700994878
  Medicare reassignment Care Compare group NPD
• State of Oklahoma

  dba Central Oklahoma Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norman, OK
  • NPI 1588755532
  Medicare reassignment Care Compare group NPD
• Oklahoma State University

  dba OSU Physicians

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1306882261

  Psychiatry

  NPD
• Oklahoma State University

  dba OSU Physicians Clinical Laboratory

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1326495433
  NPD
• State of Oklahoma

  • Skilled Nursing Facility
  • Talihina, OK
  • NPI 1154589430
  NPD
• State of Oklahoma

  dba Tulsa Center for Behavioral Health

  • Psychiatric Hospital
  • Tulsa, OK
  • NPI 1578580916
  NPD

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1770106312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 17TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741071886",
            "telephone_number": "918-236-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 17TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741071886",
            "telephone_number": "918-236-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "GRANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "46242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Anthony Dattala, LPN
• Michael Cory Daubney, CRNA
• Candice Louise Daugherty
• Connor Michael Daugherty, DDS
• Dana Helen Daugherty, LM, CPM
• Mary Kay Daugherty, PA-C
• Sherri Daugherty
• Seagal Raza Dauglas, MD
• Anjali Daulat, DO
• Megan Dauphin

• Psychiatry Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.