Tyrone Teako Davis, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

652 Issued in TN

Practice address

1204 Madison Ave
Memphis, TN 38104-2226

Phone

(901) 523-7698

Fax

(901) 272-2045

NPI assigned

Sep 29, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Memphis Health Center, Inc.Group PAC ID 7315859972, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Memphis Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1144236902
  Medicare reassignment Care Compare group NPD
• Total Foot Care, Inc. of Tennessee

  • Foot Surgery Podiatrist
  • Memphis, TN
  • NPI 1518094085
  Authorized official Same address or phone
• Memphis Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1659745354
  NPD
• Podiatry Centers of Memphis PC

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
  • NPI 1245287002
  NPD (past)
• Multipractice Clinic

  • Federally Qualified Health Center (FQHC)
  • Independence, LA
  • NPI 1184615726
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467449041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MADISON AVE",
            "address_2": "2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042226",
            "telephone_number": "901-523-7698",
            "fax_number": "901-272-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042226",
            "telephone_number": "901-523-7698",
            "fax_number": "901-272-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TYRONE",
        "middle_name": "TEAKO",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie T Davis, BSW
• Stephen R. Davis, O.D.
• Tamika Davis, LCSW
• Teressa Davis Davis, PHD
• Tracey A Davis, LCSW
• Vanessa Ann Davis, FNP
• William Davis
• Willis Bennard Davis, DDS
• Zeneida Rachelle Davis
• Brianna Monique Davison, HAIR LOSS SPECIALIST

• Foot & Ankle Surgery Podiatrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.