Active NPI
Jon Winborn Davis, PT
- Physical Therapist
- Mount Juliet, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11272
- Practice address
- 5000 Crossings Cir
Mt Juliet, TN 37122-8592 - Phone
- (615) 329-6600
- Fax
- (615) 321-6226
- NPI assigned
- Oct 10, 2006
- Last updated
- Jun 5, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH4747 | AL | |
| Physical Therapist | 225100000X | 11272 | TN | Primary |
Addresses
Primary practice location
5000 Crossings Cir
Mt Juliet, TN 37122-8592
Mailing address
805 Crystal CT
Mt Juliet, TN 37122-8212
Phone (256) 200-4701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00731753 | Other | AL | RAILROAD MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11272 | TN | MD | Pharmacist |
| PTH4747 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Health System - the Orthopaedic Center, LLC | Current | Accepting new patients | |
| Carl W. Huff, MD, PC | Past | Accepting new patients |
Locations
927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326
927 Franklin St SE
Fl 4
Huntsville, AL 35801
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
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.
-
dba The Orthopaedic Center
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
-
dba Bone and Joint Clinic of Dyersburg/Covington
- Orthopaedic Surgery Physician
- Dyersburg, TN
- NPI 1962413674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1427145333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 CRYSTAL CT",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371228212",
"telephone_number": "256-200-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 CROSSINGS CIR",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371228592",
"telephone_number": "615-329-6600",
"fax_number": "615-321-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JON",
"middle_name": "WINBORN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4747",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00731753",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.