Holly R Davis, PTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7566 Issued in TN

Practice address

24623 Union Hill Rd
Ardmore, TN 38449-3101

Phone

(931) 427-2143

NPI assigned

Sep 12, 2023

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Holly Rena Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1679350680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 THACH LN",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591625",
            "telephone_number": "256-788-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24623 UNION HILL RD",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493101",
            "telephone_number": "931-427-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HOLLY",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "7566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "WILLIAMS",
            "middle_name": "RENA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Sharp Bryan
• Diego Alejandro Cacho-Tovar, FNP-C
• Natalie Hargett Caracciolo
• Nicholas Christofidis, APRN, FNP-C
• Nathan Crawford, LPTA
• Deborah Verbeek (Ardmore Family Medical Clinic)
• Leilani Diaz
• Patricia Joan Donley, DPT
• Barbara Doorenbos
• Elk River Health & Nursing Center of Ardmore LLC

• Skilled Nursing Facility in Ardmore, TN
• Providers in Ardmore, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.