Individual provider Active NPI

William Gerald Davis, M.D.

  • Surgery Physician
  • Hendersonville, TN
National Provider Identifier
1154386035
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD15629 Issued in TN
Practice address
107 Imperial Blvd
Suite 3
Hendersonville, TN 37075-3479
Phone
(615) 824-9653
Fax
(615) 824-9663
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD15629 TN Primary

Addresses

Primary practice location

107 Imperial Blvd
Suite 3
Hendersonville, TN 37075-3479

Mailing address

107 Imperial Blvd
Suite 3
Hendersonville, TN 37075-3479
Phone (615) 824-9653

Other identifiers 1

IdentifierTypeStateIssuer
3008124MedicaidTN

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

LicenseStateTypeSpecialty
15629TNMDMental Health Counselor
MD15629TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Davis, Smith and Boskind Surgery Past Accepting new patients
The Surgical Clinic PLLC Surgery PastSince Mar 27, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154386035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD",
            "address_2": "SUITE 3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753479",
            "telephone_number": "615-824-9653",
            "fax_number": "615-824-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD",
            "address_2": "SUITE 3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753479",
            "telephone_number": "615-824-9653",
            "fax_number": "615-824-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD15629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008124",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

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.

Verify at the official NPI Registry.