Individual provider Active NPI

Davene Wells, PA-C

  • Medical Physician Assistant
  • Cordova, TN
National Provider Identifier
1386033645
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2684 Issued in TN
Practice address
146 Timber Creek Dr Ste 200
Cordova, TN 38018-4474
Phone
(901) 751-4112
NPI assigned
Jan 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2684 TN
Medical Physician Assistant 363AM0700X 2684 TN Primary

Addresses

Primary practice location

146 Timber Creek Dr Ste 200
Cordova, TN 38018-4474

Mailing address

PO Box 932958
Cleveland, OH 44193-0028
Phone (615) 425-4200

Other practice location 1

3444 Plaza Ave
Memphis, TN 38111-4614
Phone (901) 730-4204

Other names 1

  • Davene Wells Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.healthfusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160628001072 TN Practitioner - Physician Assistant 2961793633 Reassigns benefits to 4 organizations
I20250331002665 MS Practitioner - Physician Assistant 2961793633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Methodist Physicians LLCGroup PAC ID 2769623669, 123 clinicians

Practice addresses (Care Compare)

1325 Eastmoreland Ave
Memphis, TN 38104-7542

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2684TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E. Steuer MD PC CurrentSince Jan 11, 2025 Accepting new patients
Pain Management Centers of America, PSC Physician Assistant CurrentSince Mar 1, 2021 Accepting new patients
Midsouth Interventional Pain Institute, LLC Current Accepting new patients
Michael E Steuer, MD, PC CurrentSince Feb 5, 2024 Accepting new patients
Midsouth Pain Treatment Center Past Accepting new patients

Locations

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

2908 S Lamar Blvd
Ste 300
Oxford, MS 38655
Phone (662) 236-5442

122 Airways Pl
Southaven, MS 38671
Phone (662) 349-9426

146 Timber Creek Dr
Ste 200
Cordova, TN 38018
Phone (901) 751-4112

8001 Centerview Pkwy
Ste 215
Cordova, TN 38018
Phone (901) 249-5905

8000 Centerview Pkwy
Ste 100
Cordova, TN 38018
Phone (901) 249-5905

1004 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHDDD

Organizations & group practices 8

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 3

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": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1386033645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 TIMBER CREEK DR STE 200",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184474",
            "telephone_number": "901-751-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3444 Plaza Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381114614",
            "country_code": "US",
            "telephone_number": "901-730-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DAVENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2684",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.healthfusion.com",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8000 Centerview Pkwy Ste 100",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380184289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAVENE",
            "last_name": "WELLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.