RAY SCOTT DAUGHERTY MD NPI 1144544164

NPI Information

  • NPI: 1144544164
  • Provider Name: RAY SCOTT DAUGHERTY, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1211 UNION AVE
    SUITE 300
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 609-3525

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NPI Details

Ray Scott Daugherty, MD is a colon rectal surgery in Memphis, TN with 16 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Ray Scott Daugherty, MD NPI is 1144544164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2010

The provider's business location address is:

1211 UNION AVE
SUITE 300
MEMPHIS, TN
ZIP 38104-638
Phone: (901) 609-3525
Fax: (901) 266-6415

The NPI 1144544164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of anus using an endoscope (HCPCS:46600)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Colonoscopy (HCPCS:NAN13)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/19/2010 and was last updated on 4/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery54562TENNESSEENo
2208600000XSurgery205766LOUISIANANo
3208C00000XColon & Rectal Surgery205766LOUISIANAYes
4208C00000XColon & Rectal Surgery54562TENNESSEENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16082717OTHERTENNESSEEBCBS
2Q023627MEDICAIDTENNESSEE
308603276MEDICAIDMISSISSIPPI
4216071001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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