Jennifer Gail Daugherty, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000025171 Issued in TN

Practice address

820 W Race St
Kingston, TN 37763-2120

Phone

(865) 376-3406

NPI assigned

Feb 19, 2019

Last updated

Mar 20, 2024By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
• Roane Medical Center Hospital, Harriman, TN, CCN 440031
• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daugherty.jennifer.gail@covenanthealth.cernerdirect.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.

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010
  Medicare reassignment Care Compare group NPD
• Elite Pain Consultants, PLLC

  • Pain Medicine Physician
  • Cleveland, TN
  • NPI 1497267173
  Medicare reassignment NPD
• Interventional Pain Consultants

  • Interventional Pain Medicine Physician
  • Cleveland, TN
  • NPI 1174241145
  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD
• Interventional Pain Consultants

  • Durable Medical Equipment & Medical Supplies
  • Ringgold, GA
  • NPI 1629932389
  NPD
• Kingston Family Practice, P.C.

  • Family Medicine Physician
  • Kingston, TN
  • NPI 1356432041
  NPD (past)

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

• Comprehensive Home Healthcare Services LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Knoxville, TN
  • NPI 1710935408
  Care Compare affiliation
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation
• Roane County Medical Center

  dba Covenant Health Roane

  • General Acute Care Hospital
  • Harriman, TN
  • NPI 1700036696
  Care Compare affiliation

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1982160628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632120",
            "telephone_number": "865-376-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632120",
            "telephone_number": "865-376-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "JENNIFER",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000025171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q090611",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daugherty.jennifer.gail@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "820 W Race St",
            "city": "Kingston",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377632120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Rhea Collins, PA-C
• Community Recovery Center of Roane County Inc
• Compounding Pharmacy of Kingston Inc (Baggett Compounding Pharmacy)
• Lauren Copeland, PTA
• Lindsay Carey Cunningham, RDN, LDN
• Laura Lynne Davis, PHARMACIST
• Scott E Davis, M.D.
• Douglas S Dewar, M.D.
• Shannon Ryan Di Iorio, DC
• Darren Tyler Duncan, PHARMD

• Nurse Practitioner in Kingston, TN
• Providers in Kingston, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.