Individual provider Active NPI

Kelly Davis, MD

  • Interventional Cardiology Physician
  • Murfreesboro, TN
National Provider Identifier
1295052934
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
54949 Issued in TN
Practice address
1840 Medical Center Pkwy
Murfreesboro, TN 37129-3199
Phone
(615) 867-5028
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 6

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

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Meharry Medical College School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical Partners 588 clinicians

Practice addresses (Care Compare)

1840 Medical Ctr Pkwy
Suite 201
Murfreesboro, TN 37129-3237
Phone (931) 393-7831

Hospital & facility affiliations

  • Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053
  • Unity Medical Center Hospital, Manchester, TN, CCN 440007
  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151
  • Saint Thomas Highlands Hospital Hospital, Sparta, TN, CCN 440192

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

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: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170821001677 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759653199 Reassigns benefits to 1 organization

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kelly.davis.1@7654.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X 54949 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

1840 Medical Center Pkwy
Murfreesboro, TN 37129-3199

Mailing address

1840 Medical Center Pkwy
Murfreesboro, TN 37129-3199
Phone (615) 867-5028

Other practice location 1

1161 21st Ave S
Nashville, TN 37232-2350
Phone (615) 343-0339

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295052934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293199",
            "telephone_number": "615-867-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293199",
            "telephone_number": "615-867-5028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 21st Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372322350",
            "country_code": "US",
            "telephone_number": "615-343-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "54949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.