Individual provider Active NPI

Alexis Davis

  • Physician Assistant
  • Hermitage, TN
National Provider Identifier
1356079685
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5722 Issued in TN
Practice address
5655 Frist Blvd
Hermitage, TN 37076-2053
Phone
(615) 316-3000
NPI assigned
Aug 14, 2022
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 5722 TN Primary

Addresses

Primary practice location

5655 Frist Blvd
Hermitage, TN 37076-2053

Mailing address

333 Murfreesboro Pike
Nashville, TN 37210-2834
Phone (615) 248-1200

Other practice location 1

333 Murfreesboro Pike
Nashville, TN 37210-2834
Phone (615) 248-1200

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
I20240423003610 TN Practitioner - Physician Assistant 0042659088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians' Urgent Care, PLLCGroup PAC ID 9436336047, 20 clinicians

Practice addresses (Care Compare)

155 Covey Dr
Suite 100
Franklin, TN 37067-5602

155 Covey Rd
Suite 100
Franklin, TN 37067
Phone (615) 472-1550

330 23Rd N Ave
Suite 300
Nashville, TN 37203-1690
Phone (615) 342-6010

700 Old Hickory Blvd
Brentwood, TN 37027-5462
Phone (615) 457-3864

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Group - the Frist Clinic Inc Physician Assistant CurrentSince Mar 1, 2026 Accepting new patients
Trevecca Nazarene University PastSince Aug 1, 2022 Accepting new patients
Physicians' Urgent Care, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

2300 Patterson St
#M
Nashville, TN 37203

2400 Patterson St
Ste 400
Nashville, TN 37203
Phone (615) 342-5941

330 23rd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 342-6010

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.

Hospital & facility affiliations 1

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": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1356079685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MURFREESBORO PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102834",
            "telephone_number": "615-248-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 FRIST BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762053",
            "telephone_number": "615-316-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372102834",
            "country_code": "US",
            "telephone_number": "615-248-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.