Individual provider Active NPI

Winnifred Jenneh Dunbar-Davies, MD

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1487732848
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27162 Issued in TN
Practice address
3300 Wilcox Blvd.
Chattanooga, TN 37411
Phone
(423) 803-9180
Fax
(423) 803-9181
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27162 TN Primary

Addresses

Primary practice location

3300 Wilcox Blvd.
Chattanooga, TN 37411

Mailing address

PO Box 80982
Chattanooga, TN 37414
Phone (423) 495-4349

Other identifiers 4

IdentifierTypeStateIssuer
5487562OtherTNCIGNA
TN0101OtherTNUHCRIVERYVALLEY
4104835OtherTNBLUE CROSS BLUE SHIELD TN
100021923OtherTNPHP

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000900 TN Practitioner - Family PracticePractitioner - Internal Medicine 3274500780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
University of Arkansas College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3300 Wilcox Blvd
Chattanooga, TN 37411-3023
Phone (423) 803-9180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27162TNMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Love Without Walls Adult Care CurrentSince Nov 1, 2019 Accepting new patients
East Tennessee Primary Care, Inc Family Medicine CurrentSince May 12, 2005 Accepting new patients
Urgent & General Medicine Ministry, PC Past Accepting new patients

Locations

111 Park St
Athens, TN 37303
Phone (423) 252-0075

3300 Wilcox Blvd
Chattanooga, TN 37411
Phone (423) 493-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9236/brand/1/csg/1/fhir/r4
  • Direct secure messaging: winnifred.dunbar-davies.1@9236.direct.athenahealth.com

Organizations & group practices 3

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1487732848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80982",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37414",
            "telephone_number": "423-495-4349",
            "fax_number": "423-495-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WILCOX BLVD.",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37411",
            "telephone_number": "423-803-9180",
            "fax_number": "423-803-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR-DAVIES",
        "first_name": "WINNIFRED",
        "middle_name": "JENNEH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "27162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5487562",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHCRIVERYVALLEY",
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4104835",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "100021923",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.