Dwayne T Daugherty, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

030041 Issued in GA

Practice address

2801 N Decatur Rd
Suite 300
Decatur, GA 30033-5949

Phone

(404) 296-3111

Fax

(678) 686-9521

NPI assigned

Aug 3, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Internal Medicine

Education

Emory University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Center for Medicine II PCGroup PAC ID 5395914949, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIFCBA
• Direct secure messaging: dwayne.daugherty@acfm.eclinicaldirectplus.com

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.

• Atlanta Center for Medicine II PC

  • Clinic/Center
  • Decatur, GA
  • NPI 1669471728
  Medicare reassignment Care Compare group NPD

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

• Dekalb Medical Center, Inc.

  dba Emory Decatur Hospital

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  Care Compare affiliation

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1861493637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-3111",
            "fax_number": "678-686-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-3111",
            "fax_number": "678-686-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "DWAYNE",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "030041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00433386A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Kehinde Dare, APRN, PMHNP-BC
• Gerald Etiemowei Dariah, MD
• Nicole Rita Darius, MLS
• Lora Darrisaw, M.D.
• Alexis E. Daugherty, NP
• Carly Paige Daum
• Kevin M Daus, MEDICAL DOCTOR
• Ketayoun Davari, PHARM.D.
• Kuyom R Davenport, CACII
• Preethy Elizabeth David, AGNP-C

• Internal Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.