Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael G Doherty, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1730154261

Michael G Doherty, MD is a Diagnostic Radiology in Jackson, Tennessee. Graduated from Indiana University School of Medicine in 1999, 27 years ago. Practices with Jackson Radiology Associates PA, a 29-clinician group and accepts Medicare assignment. Licensed in Michigan and Tennessee.

Years since qualifying
27
Trained at
Indiana University School of Medicine
Licensed in
MI, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

31 Sandstone Cir
Jackson, TN 38305-2073
Phone: (731) 240-1747
Fax: (731) 240-1755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 68642 (TN)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 4301087295 (MI)

Record details

NPI number1730154261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address31 Sandstone Cir, Jackson, TN 38305-2073

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Jackson Radiology Associates Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations21 on file with Medicare

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