Individual provider Active NPI

Lori Michelle Davis

  • Family Nurse Practitioner
  • Alcoa, TN
National Provider Identifier
1386395853
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30854 Issued in TN
Practice address
1840 Hoopes St
Alcoa, TN 37701-2008
Phone
(865) 415-7047
NPI assigned
Jan 15, 2022
Last updated
Jan 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30854 TN Primary

Addresses

Primary practice location

1840 Hoopes St
Alcoa, TN 37701-2008

Mailing address

1840 Hoopes St
Alcoa, TN 37701-2008
Phone (865) 415-7047

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
I20220601001508 TN Practitioner - Nurse Practitioner 5890173967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
House Call Primary Care, PLLCGroup PAC ID 8426361932, 7 clinicians

Practice addresses (Care Compare)

2320 E Lamar
Alexander Pkwy
Maryville, TN 37804-5316
Phone (865) 246-2104

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as apm
Quality
52.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
30854TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Primary Care, PLLC CurrentSince Jan 15, 2025 Accepting new patients
Senior Care Partners of East Tennessee, PLLC Family CurrentSince May 24, 2022 Accepting new patients

Locations

1758 Hillwood Dr
Knoxville, TN 37920
Phone (865) 363-7124

1812 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 977-0916

1869 Crest Rd
Maryville, TN 37804
Phone (865) 984-3030

2320 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 273-8300

252 Cherokee Professional Park
Maryville, TN 37804

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

978 Highway 11 S
Sweetwater, TN 37874
Phone (423) 337-6631

Interoperability endpoints

  • Direct secure messaging: ldavis872816@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1386395853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 HOOPES ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012008",
            "telephone_number": "865-415-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 HOOPES ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012008",
            "telephone_number": "865-415-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LORI",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.