Active NPI
Carla Miller Davis, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
National Provider Identifier
1083686513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 8773
- Practice address
- 4220 Harding Pike
Nashville, TN 37205-2005 - Phone
- (615) 222-2019
- Fax
- (615) 222-3702
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Microbiology Physician | 207ZM0300X | 8773 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 8773 | TN | Primary |
Addresses
Primary practice location
4220 Harding Pike
Nashville, TN 37205-2005
Mailing address
2010 Church St Ste 615
Nashville, TN 37203-2031
Phone (615) 284-7950
Other practice location 1
4220 Harding Rd
Nashville, TN 37205-2005
Phone (615) 222-6756
Other practice location 2
4220 Harding Pike Ste 504
Nashville, TN 37205-2005
Phone (615) 298-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3012765 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8773 | TN | MD | Medical Microbiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient Centered Diagnostics PLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatopathology Physician
- Nashville, TN
- NPI 1215354980
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1083686513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 CHURCH ST STE 615",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032031",
"telephone_number": "615-284-7950",
"fax_number": "615-284-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 HARDING PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052005",
"telephone_number": "615-222-2019",
"fax_number": "615-222-3702"
}
],
"practiceLocations": [
{
"address_1": "4220 Harding Rd",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372052005",
"country_code": "US",
"telephone_number": "615-222-6756",
"fax_number": "615-222-6883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4220 Harding Pike Ste 504",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372052005",
"country_code": "US",
"telephone_number": "615-298-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "CARLA",
"middle_name": "MILLER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "TN",
"license": "8773",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "8773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3012765",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.