Active NPI
William Campbell Davies, MD
- Family Medicine Physician
- Madisonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0000069700
- Practice address
- 4798 New Highway 68
Madisonville, TN 37354-1287 - Phone
- (423) 442-2622
- NPI assigned
- Apr 15, 2021
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 0000069700 | TN | Primary |
Addresses
Primary practice location
4798 New Highway 68
Madisonville, TN 37354-1287
Mailing address
PO Box 278
Madisonville, TN 37354-0278
Phone (423) 442-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1206 Hwy 411
Vonore, TN 37885-2455
Phone (423) 884-7271
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000069700 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chota Community Health Services | Current | Accepting new patients | |
| Chota Community Health Services | Current | Accepting new patients | |
| Chota Community Health Services | Past | Accepting new patients |
Locations
4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271
145 Fifth St
Tellico Plains, TN 37385
Phone (423) 253-6545
1206 Highway 411
Vonore, TN 37885
Phone (423) 884-7271
Interoperability endpoints
- william.davies.p1@direct.chota.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Vonore, TN
- NPI 1518912955
-
- Federally Qualified Health Center (FQHC)
- Madisonville, TN
- NPI 1043932700
-
- Federally Qualified Health Center (FQHC)
- Madisonville, TN
- NPI 1548427586
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Starr Regional Medical Center
- General Acute Care Hospital
- Athens, TN
- NPI 1669567319
-
dba Blount Memorial Hospital
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1033790613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373540278",
"telephone_number": "423-442-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4798 NEW HIGHWAY 68",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373541287",
"telephone_number": "423-442-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "WILLIAM",
"middle_name": "CAMPBELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-15",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "0000069700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.