Active NPI
Forsyth Medical Group, LLC
Doing business as Richard A. Dougherty, MD
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1902790157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FORSYTH MEDICAL GROUP, LLC
- Doing business as
- Richard A. Dougherty, MD
- Practice address
- 10450 Park Rd Ste 200
Charlotte, NC 28210-8546 - Phone
- (704) 541-9002
- Fax
- (704) 542-6701
- NPI assigned
- Jun 4, 2025
- Last updated
- Aug 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jody Morris
- Title
- VP Ops and New Development
- Phone
- (919) 497-8401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
10450 Park Rd Ste 200
Charlotte, NC 28210-8546
Mailing address
2085 Frontis Plaza Blvd FL 3
Winston Salem, NC 27103-5614
Phone (336) 277-1611
Other names 1
- Richard A. Dougherty, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000123 | NC | Part B Supplier - Clinic/Group Practice | 3678478054 |
Receives reassigned benefits from 55 practitioners This NPI is an additional NPI on the enrollment Practice locations: Wilmington, NC; Randleman, NC; Raleigh, NC; Monroe, NC; Matthews, NC; Jamestown, NC; Huntersville, NC; Hickory, NC… |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1629068515
-
- Medical Physician Assistant
- Charlotte, NC
- NPI 1619244241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1902790157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 FRONTIS PLAZA BLVD FL 3",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035614",
"telephone_number": "336-277-1611",
"fax_number": "336-277-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 PARK RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108546",
"telephone_number": "704-541-9002",
"fax_number": "704-542-6701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORSYTH MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-04",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "JODY",
"authorized_official_title_or_position": "VP OPS AND NEW DEVELOPMENT",
"authorized_official_telephone_number": "919-497-8401"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Richard A. Dougherty, MD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Richard A. Dougherty, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
- Grace Judith Forrest, RN
- Eno Forrester, RN
- Meghan Rebecca Forster, MD
- Forsyth Medical Group LLC (Queen City Ear Nose and Throat)
- Forsyth Medical Group, LLC (Femwell Gynecology and Wellness)
- Kaitlin Forsyth
- Terri J Forsyth, NP
- Jacob David Forsythe, PT, DPT
- Raheem Forsythe, LCSW
- Fort Health Medical Group PA (Fort Health Medical Group of NC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.