DWAYNE T DAUGHERTY (M.D.) – Internal Medicine Physician, NPI 1861493637

DWAYNE T DAUGHERTY (M.D.) is a healthcare provider. based in Decatur, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 030041 (GA). The NPI Number for DWAYNE T DAUGHERTY (M.D.) is 1861493637

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DWAYNE T DAUGHERTY (M.D.)
NPI
1861493637
Phone
(404) 296-3111
Address
2801 N DECATUR RD
Enumeration Date
3 August 2005
Last Update Date
14 November 2011

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4042963111
Graduation Year
1986 (40 years ago)
PAC ID
0941477244
Group Practice PAC ID
5395914949
Professional Enrollment ID
I20120126000440
Address ID
GA300335987DE2801XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for DWAYNE T DAUGHERTY (M.D.)

  • North Decatur Road, Decatur, DeKalb County, Georgia, 30032, United States

    SUITE 300

    DECATUR, GA 300335949

    Phone: (404) 296-3111

    Fax: (678) 686-9521

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $863.

Total Amount is formed as General ($863) + Research ($0) + Ownership ($0) = $863.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Lilly USA, LLC ($181).

Total Amount

$863

General + Research + Ownership

Payments

42

Total payment records

General Amount

$863

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120126000440IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes549202$0
36415Insertion of needle into vein for collection of blood sample498202$0
80053Blood test, comprehensive group of blood chemicals456199$0
84439Thyroxine (thyroid chemical), free453198$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count452198$0
View full utilization report →

Insurance plans in this area (ZIP 30033)

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Provider's Procedures

DWAYNE T DAUGHERTY (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA83036Hemoglobin A1C level13877
INTERNAL MEDICINEGA90670Pneumococcal vaccine for injection into muscle5252

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395914949View full group profile
NameSpecialtyState
Internal MedicineGA
Internal MedicineGA
Internal MedicineTN
Internal MedicineGA
Family PracticeGA

Reviews

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Frequently asked questions

Does DWAYNE T DAUGHERTY (M.D.) have a public NPI I can cite?
Public records show DWAYNE T DAUGHERTY (M.D.) under NPI 1861493637.
Should I treat DWAYNE T DAUGHERTY (M.D.) as an active provider?
Patients and plans typically see DWAYNE T DAUGHERTY (M.D.) as active in the national extract.
What services align with DWAYNE T DAUGHERTY (M.D.)'s listing?
DWAYNE T DAUGHERTY (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DWAYNE T DAUGHERTY (M.D.) in Decatur, Georgia?
For routing, start with Decatur, Georgia for DWAYNE T DAUGHERTY (M.D.), then verify phone and hours locally.
Why is information missing for DWAYNE T DAUGHERTY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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