Jon Harrell Docherty Jr. (NPI# 1336185057, PAC ID# 8123931722) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1336185057 |
| PAC ID by PECOS | 8123931722 |
| Professional Enrollment ID | I20031110000598 |
| Full Name | Jon Harrell Docherty Jr. |
| Organization Legal Name | SUMTER MEDICAL SPECIALISTS PA |
| Address |
635 W Wesmark Blvd Sumter SC 29150-1900 |
| Phone Number | 8034697500 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | RHEUMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2264324433 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| 420010 | CAROLINA PINES REGIONAL MEDICAL CENTER |
| 420051 | MCLEOD REGIONAL MEDICAL CENTER-PEE DEE |
| 420109 | MCLEOD HEALTH CLARENDON |
| 420091 | CAROLINAS HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 12 W S St, Manning, SC 29102-2925 | 8034334124 | HOPEHEALTH, INC. |
| 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 8034697500 | SUMTER MEDICAL SPECIALISTS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 88% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 11% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 96% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 6% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 55% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 29% |
| Organization Legal Name | SUMTER MEDICAL SPECIALISTS PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Cain | Nephrology | Sumter Medical Specialists Pa | 635 W Wesmark Blvd, Sumter, SC 29150-1900 |
| Pusadee Suchinda | Nephrology | Sumter Medical Specialists Pa | 635 W Wesmark Blvd, Sumter, SC 29150-1900 |
| Jose Salcedo-contreras | Nephrology | Sumter Medical Specialists Pa | 635 W Wesmark Blvd, Sumter, SC 29150-1900 |
| Street Address |
635 W WESMARK BLVD |
| City | SUMTER |
| State | SC |
| Zip | 29150-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Cain | Nephrology | Sumter Medical Specialists Pa | 635 W Wesmark Blvd, Sumter, SC 29150-1900 |
| Pusadee Suchinda | Nephrology | Sumter Medical Specialists Pa | 635 W Wesmark Blvd, Sumter, SC 29150-1900 |
| Jose Salcedo-contreras | Nephrology | Sumter Medical Specialists Pa | 635 W Wesmark Blvd, Sumter, SC 29150-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Stacey Kelso | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Harry A Jordan Jr. | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Find all physicians in zip 29150 | |||
| City | SUMTER |
| Zip Code | 29150 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | SUMTER + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Jon Harrell Docherty Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.