MR. WILLIAM L DOUGHERTY (NPI# 1063520880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063520880 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM L DOUGHERTY |
| Credential | PAC |
| Practice Address |
615 S Hansell St Thomasville GA 31792-5556 |
| Practice Telephone | 2292262234 |
| Practice Fax Number | 2292262237 |
| Mailing Telephone | 2292262234 |
| Mailing Fax Number | 2292262237 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002982 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740722545 | William Ryan Dougherty | Registered Nurse | 5011 Norman Ave, Finleyville, PA 15332-1127 | 2016-11-09 |
| 1609054774 | William James Dougherty | Counselor | 3504 Freemansburg Ave, Palmer, PA 18045-5107 | 2008-01-31 |
| 1285797548 | William Francis Dougherty | Counselor | 301 W Grove St Ste 11, West Grove Professional Plaza, Clarks Summit, PA 18411-2079 | 2006-12-18 |
| 1497842512 | William Dougherty | Plastic Surgery | 1631 Hospital Drive, Suite 240, Santa Fe, NM 87505-7601 | 2006-10-09 |
| 1134142797 | William Vincent Dougherty IIi | Dentist | 200 Little Falls St., Suite 506, Falls Church, VA 22046 | 2006-07-25 |
| 1174968440 | William M Dougherty | Otolaryngology | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2013-05-01 |
| 1326054404 | William E. Dougherty | Urology | 927 Broadway St, Suite 303, Quincy, IL 62301-2719 | 2006-07-31 |
| 1053346775 | William John Dougherty Jr. | Dentist | 3663 E Sunset Rd, Suite 107, Las Vegas, NV 89120-3218 | 2006-07-11 |
| 1548298789 | William Scott Dougherty | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1669440343 | William G Dougherty | Occupational Therapist | 4100 Lake Otis Pkwy, Ste 314, Anchorage, AK 99508-5231 | 2006-03-09 |
| Street Address |
615 S HANSELL ST |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-5556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184671133 | Margaret C. Boltja | Psychiatry & Neurology | 615 S Hansell St, Thomasville, GA 31792-5556 | 2006-05-27 |
| 1790312387 | Jonathan D Tarin | Family Medicine | 615 S Hansell St, Thomasville, GA 31792-5556 | 2020-03-24 |
| 1306225479 | Southern Interventional Pain Center LLC | Psychiatry & Neurology | 615 S Hansell St, Thomasville, GA 31792-5556 | 2015-05-22 |
| 1518259720 | Pain Care Center of Thomasville, Inc | Pain Medicine | 615 S Hansell St, Thomasville, GA 31792-5556 | 2011-05-05 |
| 1659559789 | Maximilian Shahryar Shokat | Pain Medicine | 615 S Hansell St, Thomasville, GA 31792-5556 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104391556 | James T Williams Jr. | Physician Assistant | 1650 Liberty Dr Ste 100, Thomasville, NC 27360-5375 | 2018-10-11 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1225339815 | Stephanie M Thompson | Physician Assistant | 100 Mimosa Dr Fl 3, Thomasville, GA 31792-6676 | 2010-11-12 |
| 1497088751 | John Scott Garmon | Physician Assistant | 1102 Smith Ave Ste M, Thomasville, GA 31792-5740 | 2009-09-17 |
| 1497942858 | Robert Michael Donovan | Physician Assistant | 3851 Ga Highway 122, Thomasville, GA 31757 | 2007-10-01 |
| 1164560470 | Lauren Powell Musgrove | Physician Assistant | 505 Gordon Ave, Thomasville, GA 31792-6645 | 2007-02-01 |
| 1326034505 | Stanley Bruce Allen | Physician Assistant | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2005-09-23 |
| 1558357087 | Jennifer Lynn Delarber | Physician Assistant | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2005-09-20 |
| 1326033937 | Franklin R Everhart | Physician Assistant | 611 Randolph St, Thomasville, NC 27360-5126 | 2005-09-20 |
| 1881291953 | Holley H Murray | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792-4875 | 2020-10-02 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on MR. WILLIAM L DOUGHERTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.