Glenn a Davis, MD (RHC)

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

MD16760 Issued in TN

Legal business name

GLENN A DAVIS, MD (RHC)

Practice address

1020 McArthur St
Manchester, TN 37355-2453

Phone

(931) 728-2022

Fax

(931) 723-1210

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tracy A Howard

Title

Billing

Phone

(931) 728-2022

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Alan Davis, MD

  • Family Medicine Physician
  • Manchester, TN
  • NPI 1497757298
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1003021858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552453",
            "telephone_number": "931-728-2022",
            "fax_number": "931-723-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552453",
            "telephone_number": "931-728-2022",
            "fax_number": "931-723-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A DAVIS, MD (RHC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "931-728-2022",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": "MD16760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Odonnell George, APN
• Charlotte Gibbs
• Yogeshwar S Gill, M.D.
• Kara Gingras, DC
• Angela Renee Gipson
• Kristy Leann Goad-Boyd, PHARM D
• Cynthia Anne Gray
• Vanessa Streicher Green, DO
• Lisa W Gressel, MPAS, PA-C
• Dawn Hafer, D.PH.

• All providers in Manchester, TN
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.