Individual provider Active NPI

Taylor Davis

  • Family Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1144869827
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000026657 Issued in TN
Practice address
490 W Poplar Ave
Collierville, TN 38017-2538
Phone
(731) 394-1145
NPI assigned
Dec 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000026657 TN
Family Nurse Practitioner 363LF0000X APN0000026657 TN Primary

Addresses

Primary practice location

490 W Poplar Ave
Collierville, TN 38017-2538

Mailing address

957 Autumn Oaks Cir
Collierville, TN 38017-3203

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608002970 TN Practitioner - Nurse Practitioner 2365863875 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-8336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26657TNMDPharmacist
APN0000026657TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Mar 1, 2020 Accepting new patients
Shelby County Health Care Corporation CurrentSince Aug 1, 2025 Accepting new patients
Shelby County Health Care Corporation CurrentSince Aug 1, 2025 Accepting new patients
Mark Shermer, M.D.,P.C. CurrentSince Jan 5, 2021 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Aug 1, 2025 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Nov 7, 2022 Accepting new patients
Ut Regional One Physicians Inc Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients

Locations

2996 Kate Bond Rd
Ste 305
Bartlett, TN 38133
Phone (901) 300-2971

6005 Park Ave
Ste 807
Memphis, TN 38119
Phone (901) 288-6233

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJJHDD/Endpoint/HJJHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1144869827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 AUTUMN OAKS CIR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W POPLAR AVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172538",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000026657",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000026657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.