Individual provider Active NPI

Laurie E Davis, MPAS, PA-C

  • Medical Physician Assistant
  • Columbia, TN
National Provider Identifier
1205937836
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1886 Issued in TN
Practice address
1400 Hatcher LN
Columbia, TN 38401-3563
Phone
(615) 410-4990
Fax
(615) 410-4250
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1886 TN Primary

Addresses

Primary practice location

1400 Hatcher LN
Columbia, TN 38401-3563

Mailing address

2548 Rideout LN
Murfreesboro, TN 37128-7686
Phone (615) 410-4990

Other identifiers 1

IdentifierTypeStateIssuer
1527638MedicaidTN

Other names 1

  • Laurie E Davis Professional name

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
I20110928000260 TN Practitioner - Physician Assistant 8921025925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Neurology Center PLLCGroup PAC ID 0648442269, 21 clinicians

Practice addresses (Care Compare)

1400 Hatcher LN
Columbia, TN 38401-3563
Phone (615) 410-4990

2548 Rideout Lane
Mufreesboro, TN 37128-7686

2548 Rideout LN
Murfreesboro, TN 37128-7686
Phone (615) 410-4990

4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (615) 410-4990

Hospital & facility affiliations

  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

Merit-based Incentive Payment System (MIPS)

Final score
71.98 of 100Reported as group
Quality
27.23
Promoting interoperability
94
Improvement activities
40
Cost
75.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
1886TNMDOccupational Therapist
PA1886TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology Center, PLLC CurrentSince Jul 11, 2023 Accepting new patients
Comprehensive Neurology Center, PLLC Past Accepting new patients

Locations

1400 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-7000

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

353 New Shackle Island Rd
Ste 122B
Hendersonvlle, TN 37075
Phone (615) 822-2400

2140 N Thompson Ln
Ste 100
Murfreesboro, TN 37129

2548 Rideout Ln
Murfreesboro, TN 37128
Phone 61541049901007

Interoperability endpoints

  • Direct secure messaging: laurie.davis.1@30188.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1205937836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 RIDEOUT LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287686",
            "telephone_number": "615-410-4990",
            "fax_number": "615-410-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013563",
            "telephone_number": "615-410-4990",
            "fax_number": "615-410-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAURIE",
        "middle_name": "E",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA1886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527638",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "DAVIS",
            "middle_name": "E",
            "credential": "MPAS PA C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.