Individual provider Active NPI

Christopher Vernon Davenport, M.D.

  • Psychiatry Physician
  • Lakeland, FL
National Provider Identifier
1356347702
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME87596 Issued in FL
Practice address
2016 Seminole TRL
Lakeland, FL 33803-2177
Phone
(863) 646-9600
Fax
(330) 422-6245
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME87596 FL Primary

Addresses

Primary practice location

2016 Seminole TRL
Lakeland, FL 33803-2177

Mailing address

2016 Seminole TRL
Lakeland, FL 33803-2177
Phone (863) 646-9600

Other identifiers 1

IdentifierTypeStateIssuer
268435700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000015 FL Practitioner - Psychiatry 7315841483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Tennessee, HSC, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2016 Seminole TRL
Lakeland, FL 33803-2177
Phone (863) 646-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87596FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Davenport MD Mba PA Psychiatry CurrentSince Sep 25, 2003 Accepting new patients
Benjamin E. Lippmann, D.O., P.a. Psychiatry PastSince Feb 13, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

5302 S Florida Ave
Ste 206
Lakeland, FL 33813
Phone (863) 289-0968

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1356347702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 SEMINOLE TRL",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032177",
            "telephone_number": "863-646-9600",
            "fax_number": "330-422-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 SEMINOLE TRL",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032177",
            "telephone_number": "863-646-9600",
            "fax_number": "330-422-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "CHRISTOPHER",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME87596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268435700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.