NPIMap

Individual provider Active NPI

Douglas L Davis, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1083669345
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD16585 Issued in TN
Practice address
9625 Kroger Park Dr
Suite 450
Knoxville, TN 37922-5880
Phone
(865) 690-2992
Fax
(865) 690-2993
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD16585 TN Primary

Addresses

Primary practice location

9625 Kroger Park Dr
Suite 450
Knoxville, TN 37922-5880

Mailing address

PO Box 440350
Nashville, TN 37244-0350
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
3882049MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000797 TN Practitioner - Internal Medicine 1850381757 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians

Practice addresses (Care Compare)

9625 Kroger Park Dr
Suite 450
Knoxville, TN 37922-8809
Phone (865) 690-2992

Hospital & facility affiliations

  • University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD16585TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Primary Care LLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
University Health System, Inc Internal Medicine CurrentSince Mar 27, 2006 Accepting new patients
Uhs Primary Care LLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Parkwest Medical Center CurrentSince Jul 1, 2005 Accepting new patients
University Health System, Inc. Current Accepting new patients
Parkwest Medical Center CurrentSince Jul 1, 2005 Accepting new patients
Uhs Primary Care LLC Internal Medicine Current Accepting new patients
University Health System Inc CurrentSince Mar 27, 2006 Accepting new patients
Uhs Primary Care LLC Past Accepting new patients
East Tennessee Women'S Care, PC Past Accepting new patients
Geriatric Assesment Program PastSince Jan 1, 1990 Accepting new patients
Dr. Kristy Newton PastSince Jan 1, 1990 Accepting new patients
Women'S Health West PastSince Jan 1, 1990 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

9625 Kroger Park Dr
Ste 450
Knoxville, TN 37922
Phone (865) 690-2992

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

5779 Creekwood Park Blvd
Ste 220
Lenoir City, TN 37772
Phone (865) 988-6330

1921 Topside Rd
Ste 200
Louisville, TN 37777
Phone (865) 970-9048

2347 Jones Bend Rd
Louisville, TN 37777
Phone (865) 373-8206

Interoperability endpoints

  • Direct secure messaging: douglas.davis@direct.utmck.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1083669345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440350",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 KROGER PARK DR",
            "address_2": "SUITE 450",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225880",
            "telephone_number": "865-690-2992",
            "fax_number": "865-690-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD16585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3882049",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.