Daniel L Davis, M.D.
Individual provider Active NPI Surgery Physician · Springfield, TN
NPI 1114967353 · NPPES record last updated Aug 14, 2012
Key facts
- NPI
- 1114967353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD0037415 (TN)
- Practice address
- 417 Northcrest Dr
Springfield, TN 37172-3973 - Phone
- (615) 384-8211
- Fax
- (615) 384-5859
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Health Corporation, Inc.
Bowling Green-Warren County Community Hospital Corporation
Practice addresses (Care Compare)
1030 Brookhaven Rd
Franklin, KY 42134-2745
Phone (270) 781-0075
1100 Brookhaven Rd
Franklin, KY 42134-2746
1625 Nashville St
Russellville, KY 42276-8853
Phone (270) 745-1111
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178
350 Park St
Bowling Green, KY 42101-1784
825 2ND Ave
Suite C1
Bowling Green, KY 42101-1791
Phone (270) 780-2690
825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786
Hospital & facility affiliations
- The Medical Center (Bowling Green)
- The Medical Center at Russellville
- The Medical Center at Franklin
- The Medical Center at Albany
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 23 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 26 |
| Removal of tissue | 18 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161005002945 | KY | Practitioner - General Surgery | 5991708810 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0037415 | TN | MD | Surgery Physician |
| 37415 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowling Green-Warren County Community Hospital Corporation | Current |
Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current |
Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Current |
Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current |
Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Surgery | Past | Accepting new patients |
| Springfield Surgery PC | Past | Accepting new patients | |
| Springfield Surgery,P.C. | Surgery | Past |
Accepting new patients |
| Commonwealth Health Corporation | Past | Accepting new patients |
Locations
825 2nd Ave
Ste B6
Bowling Green, KY 42101
Phone (270) 780-2690
2625 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 745-0942
350 Park St
Ste 206
Bowling Green, KY 42101
Phone (270) 746-0440
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
825 2nd Ave
Ste C1
Bowling Green, KY 42101
Phone (270) 780-2690
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
1100 Brookhaven Rd
Ste 101
Franklin, KY 42134
Phone (270) 780-2660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD0037415 | TN | Yes |
Addresses
Primary practice location
417 Northcrest Dr
Springfield, TN 37172-3973
Mailing address
417 Northcrest Dr
Springfield, TN 37172-3973
Phone (615) 384-8211
Other providers in Springfield, TN
- Kimberly Cyr
- George A Dahir
- Diana Michelle Darks
- Kara Ann Davidson
- Davis Foot and Ankle Centers, Inc
- Jeffrey Alan Davis
- Kevin W Davis
- Michael Day
- Kristin Dean (Employee Id: 4592260) Dean
- Joseph Edward Dearing
All providers in Springfield, TN · Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.