Individual provider Active NPI

Tamara Faye Davis, MD

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1528066719
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD38857 Issued in TN
Practice address
4221 Asheville Hwy
Knoxville, TN 37914-3508
Phone
(865) 392-7264
Fax
(865) 378-8482
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 MD38857 TN Primary

Addresses

Primary practice location

4221 Asheville Hwy
Knoxville, TN 37914-3508

Mailing address

PO Box 746725
Atlanta, GA 30374-6725
Phone (601) 533-7017

Other identifiers 3

IdentifierTypeStateIssuer
3330636MedicaidTN
3001033MedicaidTN
Q029938MedicaidTN

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
I20050623000925 TN Practitioner - Family Practice 2163467762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

3360 N Watkins St
Memphis, TN 38127-6432
Phone (901) 401-7150

4221 Asheville Hwy
Knoxville, TN 37914-3508
Phone (865) 392-7264

Hospital & facility affiliations

  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD38857TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Tennessee, PLLC Family Medicine CurrentSince Jan 7, 2024 Accepting new patients
DX Mso, PLLC CurrentSince Aug 7, 2017 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Nov 28, 2023 Accepting new patients
Covenant Medical Group, Inc CurrentSince Apr 29, 2018 Accepting new patients
Covenant Medical Group, Inc. Family Medicine CurrentSince Apr 29, 2018 Accepting new patients
University Health System Inc Past Accepting new patients
Osh-Mi Physicians Group PC Family Medicine Past Accepting new patients
Cherokee Health Systems Family Medicine Past Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

4221 Asheville Hwy
Knoxville, TN 37914
Phone (865) 392-7264

Dept 888179
Knoxville, TN 37995

1300 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 584-2146

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1528066719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746725",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746725",
            "telephone_number": "601-533-7017",
            "fax_number": "601-533-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 ASHEVILLE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379143508",
            "telephone_number": "865-392-7264",
            "fax_number": "865-378-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TAMARA",
        "middle_name": "FAYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD38857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3330636",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001033",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029938",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.