Active NPI
Jennifer Dawn Davis, APRN
- Family Nurse Practitioner
- Camden, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13297
- Practice address
- 186 Hospital Dr
Camden, TN 38320-1618 - Phone
- (731) 584-3151
- Fax
- (731) 584-3168
- NPI assigned
- Feb 25, 2008
- Last updated
- Nov 30, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13297 | TN | Primary |
Addresses
Primary practice location
186 Hospital Dr
Camden, TN 38320-1618
Mailing address
451 Highway 13 S
Waverly, TN 37185-2109
Phone (931) 296-0211
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220408001594 | TN | Order and Referring Only - Nurse Practitioner | 7315026259 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Humphreys County Community Health Services, Inc.
Practice addresses (Care Compare)
451 Hwy 13 S
Waverly, TN 37185-2109
Phone (931) 296-4203
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13297 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humphreys County Community Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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 Ascension Saint Thomas Three Rivers
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba West Tennessee Healthcare Camden Hospital
- Critical Access Hospital
- Camden, TN
- NPI 1659347920
-
dba Tristar Horizon Medical Center
- General Acute Care Hospital
- Dickson, TN
- NPI 1871530832
-
dba Amedisys Home Health
- Home Health Agency
- Nashville, TN
- NPI 1689622466
-
dba Ascension Saint Thomas Three Rivers
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
-
dba Home Care Solutions
- Home Health Agency
- Dickson, TN
- NPI 1013175215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1447429386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 HIGHWAY 13 S",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371852109",
"telephone_number": "931-296-0211",
"fax_number": "931-296-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 HOSPITAL DR",
"city": "CAMDEN",
"state": "TN",
"postal_code": "383201618",
"telephone_number": "731-584-3151",
"fax_number": "731-584-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JENNIFER",
"middle_name": "DAWN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "13297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.