Grant H Davis, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1318 Issued in TN

Practice address

502 E Lamar Alexander Pkwy
Maryville, TN 37804-5907

Phone

(865) 981-8289

NPI assigned

Dec 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tap to Treat

  • Occupational Medicine Clinic/Center
  • Alcoa, TN
  • NPI 1043972615
  NPD Authorized official

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

{
    "created_epoch": "1355011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1245575885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 WERKBUND WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379207631",
            "telephone_number": "865-806-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045907",
            "telephone_number": "865-981-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GRANT",
        "middle_name": "H",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-09",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Elaine Daugherty, PMHNP-BC
• Margo Lynn Davenport, PA-C
• David J Bender PHD PC
• David L Snow MD PC
• David T Cope Advanced Hearing Center
• Jessica Nichole Davis, PT
• Kristy Lynn Davis, LMFT
• Martha L Davis, DPO
• Michael Edwin Davis, RPH
• Nancy C Davis, LCSW

• Athletic Trainer in Maryville, TN
• Providers in Maryville, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.