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Deactivated NPI 1750391777 Deactivated / Inactive NPI Male Practitioner

Dr. Dennis C Doherty , DO

Specialist • Athens, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dennis Doherty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2006
NPI Deactivation Date April 02, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Doherty, DO was a registered Specialist practicing in Athens, GA. Throughout an active medical career spanning 20 years, Dr. Doherty provided care at the practice location at 125 S MILLEDGE AVENUE until profile deactivation on 2026-04-02.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

125 S Milledge Avenue
Suite A

Athens, GA 30605

Telephone 7069919865
Fax 4242207408
Associated Practice Facility / Clinic
🏢 Right Relief Health, Pc Facility NPI 1154557114

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.3 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Athens, GA (979 Statewide)

Telehealth Adoption Rate
8.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 12 $324.54 $103.76

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 031731

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Devan Doherty , CACII

Counselor - Addiction (Substance Use Disorder)

NPI 1922837350

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
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NPI Profile Deactivated April 02, 2026

Record deactivated on April 02, 2026

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Updated Practice Location March 19, 2021

Registered at 2 S MAIN ST STE 206, WATKINSVILLE, GA 306777101 (Tel: 7069919865)

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Updated Business Mailing Address March 19, 2021

Registered at 2 S MAIN ST STE 206, WATKINSVILLE, GA 306777101 (Tel: 7069919865)

NPI Profile Active October 12, 2017

NPI status registered as active in NPPES database

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Updated Practice Location October 12, 2017

Registered at 125 S MILLEDGE AVE, SUITE A, ATHENS, GA 306055660 (Tel: 7069919865)

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Updated Business Mailing Address October 12, 2017

Registered at 125 S MILLEDGE AVE, SUITE A, ATHENS, GA 306055660 (Tel: 7069919865)

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Provider Name / Credentials Updated October 12, 2017

Recorded as DENNIS DOHERTY, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2017

Specialist (License #031731 in GA)

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Updated Practice Location March 02, 2017

Registered at 125 S MILLEDGE AVE, SUITE A, ATHENS, GA 306055660 (Tel: 7069919865)

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2016

Registered at 125 S MILLEDGE AVENUE, SUITE A, ATHENS, GA 30605 (Tel: 7069919865)

📍
Updated Business Mailing Address November 07, 2016

Registered at 125 S MILLEDGE AVE, SUITE A, ATHENS, GA 306055660 (Tel: 7069919865)

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Provider Name / Credentials Updated November 07, 2016

Recorded as DENNIS DOHERTY, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Specialist (License #031731 in GA)

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Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750391777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: November 07, 2016
Deactivation Date: April 02, 2026

Mailing Address

125 S Milledge Ave, Suite A

Athens, GA 306055660

Phone: 7069919865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.