Cheryl Croft Dougherty, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001565 Issued in GA

Practice address

2817 Reilly Road MCXC-Cod Credentialing
Womack Army Medical Center
Ft. Bragg, NC 28310

Phone

(910) 907-8922

Fax

(910) 907-6069

NPI assigned

Mar 8, 2010

Sex

Female

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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1801119607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ROAD MCXC-COD CREDENTIALING",
            "address_2": "WOMACK ARMY MEDICAL CENTER",
            "city": "FT. BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ROAD MCXC-COD CREDENTIALING",
            "address_2": "WOMACK ARMY MEDICAL CENTER",
            "city": "FT. BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "CHERYL",
        "middle_name": "CROFT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "001565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Donohoe, PT, DPT
• Alec Keene Donohue
• Molly Elizabeth Donovan, L.I.C.S.W.
• Deborah Alicia Dorvil, M.D.
• Angela Dotterweich, LCSW
• Noelle Dove, CNM
• Christian C Dow, PHD
• Katherine Ford Downs, CNM
• Alina Jean Doyle, LCSW
• Antwana Drayton

• Physician Assistant in Ft. Bragg, NC
• Providers in Ft. Bragg, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.