Individual provider Active NPI

William Campbell Davies, MD

  • Family Medicine Physician
  • Madisonville, TN
National Provider Identifier
1033790613
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0000069700 Issued in TN
Practice address
4798 New Highway 68
Madisonville, TN 37354-1287
Phone
(423) 442-2622
NPI assigned
Apr 15, 2021
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030002953 TN Practitioner - Family Practice 9830622703 Reassigns benefits to 1 organization

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
Chota Community Health ServicesGroup PAC ID 9436130135, 19 clinicians

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

LicenseStateTypeSpecialty
0000069700TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chota Community Health Services CurrentSince Sep 1, 2024 Accepting new patients
Chota Community Health Services CurrentSince Sep 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.