Active NPI
Joni Davis, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Jackson, TN
National Provider Identifier
1154726834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18715
- Practice address
- 289 Vann Dr Ste a
Jackson, TN 38305-6050 - Phone
- (731) 410-6786
- NPI assigned
- Oct 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18715 | TN | Primary |
Addresses
Primary practice location
289 Vann Dr Ste a
Jackson, TN 38305-6050
Mailing address
289 Vann Dr Ste a
Jackson, TN 38305-6050
Phone (731) 410-6786
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18715 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Goodwin Childrens Clinic, PLC | Past | Accepting new patients |
Locations
125 W Church St
Lexington, TN 38351
Phone (731) 249-9300
1860 Wayne Rd
Savannah, TN 38372
Phone (731) 926-4222
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIDECD/Endpoint/DIDECD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Primary Care Clinic/Center
- Lexington, TN
- NPI 1548515638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1154726834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 VANN DR STE A",
"city": "JACKSON",
"state": "TN",
"postal_code": "383056050",
"telephone_number": "731-410-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 VANN DR STE A",
"city": "JACKSON",
"state": "TN",
"postal_code": "383056050",
"telephone_number": "731-410-6786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JONI",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.