Active NPI
Darel Louis Davis, APN, FNP-C
- Family Nurse Practitioner
- Germantown, TN
National Provider Identifier
1366749707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15569
- Practice address
- 8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773 - Phone
- (901) 726-0200
- Fax
- (901) 278-3050
- NPI assigned
- Feb 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15569 | TN | Primary |
Addresses
Primary practice location
8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773
Mailing address
8459 E Askersund CV
Cordova, TN 38018-6836
Phone (901) 237-6388
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110527000553 | TN | Practitioner - Nurse Practitioner | 8628255601 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Tennessee LLC | Family | Current | Accepting new patients |
| Southeastern Emergency Services P C | Past | Accepting new patients |
Locations
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295
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.
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1366749707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8459 E ASKERSUND CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186836",
"telephone_number": "901-237-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 WOLF RIVER BLVD STE 103",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381773",
"telephone_number": "901-726-0200",
"fax_number": "901-278-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DAREL",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "APN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "15569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.