Active NPI
James Phillip Davis Jr., M.D.
- Anesthesiology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD13859
- Practice address
- 2341 McCallie Ave
Suite 402
Chattanooga, TN 37404-3239 - Phone
- (423) 698-3309
- Fax
- (423) 624-6355
- NPI assigned
- Feb 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD13859 | TN | Primary |
| Anesthesiology Physician | 207L00000X | MD28260 | GA |
Addresses
Primary practice location
2341 McCallie Ave
Suite 402
Chattanooga, TN 37404-3239
Mailing address
PO Box 3549
Chattanooga, TN 37404-0549
Phone (423) 698-3309
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3194245 | Medicaid | TN | |
| 3031597 | Other | TN | BCBS |
| 4346956 | Other | TN | BCBS OF TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD28260 | GA | MD | Anesthesiology Physician |
| MD13859 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current | Accepting new patients |
| Specialists in Pain Management, PLLC Dba Spine & Pain Associates | Past | Accepting new patients |
Locations
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Interventional Pain Medicine Physician
- Chattanooga, TN
- NPI 1447203922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1376518209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3549",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374040549",
"telephone_number": "423-698-3309",
"fax_number": "423-624-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 MCCALLIE AVE",
"address_2": "SUITE 402",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043239",
"telephone_number": "423-698-3309",
"fax_number": "423-624-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMES",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "MD13859",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "MD28260",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3194245",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3031597",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4346956",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.