Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Ndome Chavone Dougherty, ANP-C

Individual provider Nurse Practitioner · NPI 1548513690

Miss. Ndome Chavone Dougherty, ANP-C is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Practices with Ivx Health of North Carolina PC, a 21-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027
Phone: (704) 342-1900
Fax: (704) 377-0353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5005896 (NC)
Oncology Clinical Nurse Specialist Taxonomy 364SX0200X · Licence 5005896 (NC)

Record details

NPI number1548513690
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-C
Sole proprietorNo
NPI enumeratedOctober 25, 2012
Last updated in NPPESOctober 25, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ivx Health Of North Carolina P.C. — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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