Active NPI
Terry G Davis, PA
- Surgical Physician Assistant
- Fort Campbell, KY
National Provider Identifier
1114993904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA00485
- Practice address
- Blanchfield Army Community Hospital
650 Joel Dr.
Fort Campbell, KY 42223 - Phone
- (270) 798-8372
- NPI assigned
- Feb 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA00485 | TX | Primary |
Addresses
Primary practice location
Blanchfield Army Community Hospital
650 Joel Dr.
Fort Campbell, KY 42223
Mailing address
Blanchfield Army Community Hospital
650 Joel Dr.
Fort Campbell, KY 42223
Phone (270) 798-8372
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00485 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Medical Clinics, P.a. | Past | Accepting new patients | |
| South Texas Medical Clinics, P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
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- General Practice Physician
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- NPI 1114077427
-
- General Practice Physician
- Wharton, TX
- NPI 1770688905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114993904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
"address_2": "650 JOEL DR.",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-798-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
"address_2": "650 JOEL DR.",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-798-8372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TERRY",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA00485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.