Active NPI
Shawn Christian Davies, ATC
- Athletic Trainer
- Vonore, TN
National Provider Identifier
1407821069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0000000577
- Practice address
- 110 Deer Xing
Vonore, TN 37885-2133 - Phone
- (423) 884-1901
- NPI assigned
- Feb 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0000000577 | TN | Primary |
Addresses
Primary practice location
110 Deer Xing
Vonore, TN 37885-2133
Mailing address
224 Old Clover Hill Rd
Maryville, TN 37803-0569
Phone (865) 681-7920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000577 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407821069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 OLD CLOVER HILL RD",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378030569",
"telephone_number": "865-681-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 DEER XING",
"city": "VONORE",
"state": "TN",
"postal_code": "378852133",
"telephone_number": "423-884-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "SHAWN",
"middle_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "0000000577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vonore, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.