James Lee Davenport

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34068 Issued in TN

Legal business name

JAMES LEE DAVENPORT

Practice address

306 Pine Hill Rd
Elizabethton, TN 37643-2920

Phone

(423) 542-4189

Fax

(423) 542-4181

NPI assigned

Apr 4, 2007

Last updated

Jan 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Lee Davenport, M.D.NPI 1326106964

Title

Owner

Phone

(423) 542-4189

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Lee Davenport, M.D.

  • Family Medicine Physician
  • Elizabethton, TN
  • NPI 1326106964
  Medicare reassignment Care Compare group Authorized official
• Michelle Lee Davenport, M.D.

  • Internal Medicine Physician
  • Elizabethton, TN
  • NPI 1497813026
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1184746869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 PINE HILL RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432920",
            "telephone_number": "423-542-4189",
            "fax_number": "423-542-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 PINE HILL RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432920",
            "telephone_number": "423-542-4189",
            "fax_number": "423-542-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES LEE DAVENPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-542-4189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "34068",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "36009",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "36009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3379172",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystan Inman
• Deanna Lynn Irick, MED NCC LPC MHSP MAC
• Iron Mountain Counseling & Consultation, LLC
• Ivy Hall, Inc (Ivy Hall Nursing Home)
• Patti Yvonne Jacobs, RN0000144931
• Trey Jansen, PT, DPT, ATC, CSCS
• Tiffany Charlotte Jenkins, FNP
• Kristen Jewett, SLP
• Jlwchiro-TN PLLC (ward chiropractic center)
• Cassidy Savannah Johnson, FNP-C

• Family Medicine Physician in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.