DWAYNE T DAUGHERTY (NPI# 1861493637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861493637 |
| Entity Type | Individual |
| Full Name | DWAYNE T DAUGHERTY |
| Credential | M.D. |
| Practice Address |
2801 N Decatur Rd Suite 300 Decatur GA 30033-5949 |
| Practice Telephone | 4042963111 |
| Practice Fax Number | 6786869521 |
| Mailing Telephone | 4042963111 |
| Mailing Fax Number | 6786869521 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 030041 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00433386A | 05 |
| Street Address |
2801 N DECATUR RD SUITE 300 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471728 | Atlanta Center for Medicine II PC | Clinic/Center | 2801 N Decatur Rd, Suite 300, Decatur, GA 30033-5949 | 2005-07-20 |
| 1104339324 | Oms, LLC | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2017-11-09 |
| 1972021962 | Omid Midanaky | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2017-08-30 |
| 1780130120 | Margaret Claire Layman | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2016-08-26 |
| 1386020188 | Katherine Moise | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2015-08-04 |
| 1487039673 | Alig Orthopedics LLC | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2015-07-29 |
| 1558741207 | Patricio Morchio | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2015-06-08 |
| 1164816104 | Christine Chang | Family Medicine | 2801 N Decatur Rd, Decatur, GA 30033 | 2015-03-27 |
| 1982093480 | Southeastern Orthopedic Surgical Pa, LLC | Physician Assistant | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2015-01-21 |
| 1538586995 | Dekalb Gpo LLC | Family Medicine | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205481736 | Northside Nama Professional Services, LLC | Internal Medicine | 2545 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3240 | 2019-08-01 |
| 1235632282 | Integrated Health and Wellness, LLC | Internal Medicine | 4150 Snapfinger Woods Dr Ste 200, Decatur, GA 30035-3417 | 2018-03-16 |
| 1619487428 | William Charles Levine | Internal Medicine | 2488 Pangborn Cir, Decatur, GA 30033-1341 | 2017-10-06 |
| 1730603267 | Snapcare Clinic | Internal Medicine | 5071 Snapfinger Woods Dr, Decatur, GA 30035-4019 | 2017-07-26 |
| 1629520515 | Daniel Feikin | Internal Medicine | 1726 Oakview Rd, Decatur, GA 30030-4235 | 2016-10-26 |
| 1699168237 | Valley Internal Medicine and Pediatrics | Internal Medicine | 2506 Danville Rd Sw # B, Decatur, AL 35603-4232 | 2015-03-06 |
| 1740691120 | Sandra J. Valenciano | Internal Medicine | 445 Winn Way Ste 527, Decatur, GA 30030-1707 | 2014-05-19 |
| 1376964593 | Naomi Bock | Internal Medicine | 335 W Ponce De Leon Ave Unit 501, Decatur, GA 30030-2456 | 2013-12-16 |
| 1548693641 | Timothy P. Weirich, M.d., P.C. | Internal Medicine | 3505 Pinehurst Dr Sw, Decatur, AL 35603-1259 | 2013-08-13 |
| 1154760577 | Michael William Smith | Internal Medicine | 2434 Vivian Cir, Decatur, GA 30030-1592 | 2013-06-19 |
| Find all providers in DECATUR | ||||
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| 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.