Individual provider Active NPI

Richard Lloyd Davidson, CRNA

  • Certified Registered Nurse Anesthetist
  • Hendersonville, TN
National Provider Identifier
1003117672
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
15352 Issued in TN
Practice address
237 Lake Terrace Dr
Hendersonville, TN 37075-5148
Phone
(731) 616-3862
NPI assigned
Nov 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 15352 TN Primary

Addresses

Primary practice location

237 Lake Terrace Dr
Hendersonville, TN 37075-5148

Mailing address

PO Box 381468
Germantown, TN 38183-1468
Phone (731) 616-3862

Other practice location 1

27A Medical Center Dr
Jackson, TN 38301-3949
Phone (731) 424-1001

Other identifiers 1

IdentifierTypeStateIssuer
1522512MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110225000365 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557542461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians
Medical Center Anesthesia, IncGroup PAC ID 2769629187, 107 clinicians

Practice addresses (Care Compare)

27 A Medical Ctr Dr
Jackson, TN 38301-3949
Phone (731) 424-1001

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
15352TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients
Gastroenterology Center of the Midsouth PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2024 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2013 Accepting new patients
West Tennessee Anesthesia, PC Nurse Anesthetist, Certified Registered PastSince Apr 4, 2011 Accepting new patients
Ogi WT JV LLC PastSince Mar 1, 2023 Accepting new patients

Locations

Gastro Onegovt Arhcl
New York, NY 10087

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

27 Medical Center Dr
#A
Jackson, TN 38301
Phone (731) 280-0157

27 Medical Center Dr
Ste 2
Jackson, TN 38301
Phone (731) 426-0310

27 Medical Center Dr
#B
Jackson, TN 38301

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1003117672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468",
            "telephone_number": "731-616-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 LAKE TERRACE DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370755148",
            "telephone_number": "731-616-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27A Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013949",
            "country_code": "US",
            "telephone_number": "731-424-1001",
            "fax_number": "731-424-2249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "RICHARD",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-12",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "15352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522512",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.