Ryan Andrew Dougherty, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

158 Issued in GA

Practice address

1820 N Columbia St Ste F
Milledgeville, GA 31061-7166

Phone

(706) 389-1260

Fax

(706) 786-0797

NPI assigned

Apr 8, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Trek Holdings Inc

  • Prosthetic/Orthotic Supplier
  • Milledgeville, GA
  • NPI 1396316279

  Prosthetist

  NPD Authorized official
• Coastal Prosthetics & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Norfolk, VA
  • NPI 1558328393
  NPD (past)

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1780900399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N COLUMBIA ST STE F",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617166",
            "telephone_number": "706-389-1260",
            "fax_number": "706-786-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N COLUMBIA ST STE F",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617166",
            "telephone_number": "706-389-1260",
            "fax_number": "706-786-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "GA",
            "license": "158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy L Dixon, LDO
• Marcia Dean Dixon, PMHNP
• Ekrem Dogan, MD
• Pamela D. Donovan, APRN, PMHCNS-BC
• Dorothy Sallis-Stewart MD, PC
• Dr Osh and Associates Foot and Leg Clinic, PC
• Dr. Michael B. Roberts, MD, General & Thoracic Surgery, PC
• Marshall Dreyer
• Dsi Macon, LLC
• Yonghua Du, M.D.

• Prosthetist in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Prosthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.