Individual provider Active NPI

Abigail G Davis, APRN

  • Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1477144459
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28905 Issued in TN
Practice address
5410 Maryland Way Ste 301
Brentwood, TN 37027-5339
Phone
(855) 212-2273
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28905 TN Primary

Addresses

Primary practice location

5410 Maryland Way Ste 301
Brentwood, TN 37027-5339

Mailing address

5410 Maryland Way Ste 301
Brentwood, TN 37027-5339
Phone (855) 212-2273

Other practice location 1

491 Sage Rd N Ste 800
White House, TN 37188-9362
Phone (615) 672-4089

Other practice location 2

352 W Northfield Blvd
Murfreesboro, TN 37129-1539
Phone (615) 546-6561

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
I20210311001008 TN Practitioner - Nurse Practitioner 7810303104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Group, PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

491 Sage Rd N
Ste 800
White House, TN 37188
Phone (615) 672-4089

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1477144459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 301",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275339",
            "telephone_number": "855-212-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 301",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275339",
            "telephone_number": "855-212-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Sage Rd N Ste 800",
            "address_purpose": "LOCATION",
            "city": "White House",
            "state": "TN",
            "postal_code": "371889362",
            "country_code": "US",
            "telephone_number": "615-672-4089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "352 W Northfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371291539",
            "country_code": "US",
            "telephone_number": "615-546-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ABIGAIL",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.