Individual provider Active NPI

Bethany Davis, M.D.

  • Family Medicine Physician
  • Clarksville, TN
National Provider Identifier
1730542663
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66265 Issued in TN
Practice address
1947 Madison St Ste B
Clarksville, TN 37043-8033
Phone
(931) 614-7169
Fax
(877) 958-9018
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30246 NE
Family Medicine Physician 207Q00000X 30249 NE
Family Medicine Physician 207Q00000X 66265 TN Primary

Addresses

Primary practice location

1947 Madison St Ste B
Clarksville, TN 37043-8033

Mailing address

1947 Madison St Ste B
Clarksville, TN 37043-8033
Phone (931) 614-7169

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bethany.davis.1@29601.direct.athenahealth.com Health Information Exchange (HIE)

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
I20230710002645 TN Practitioner - Family Practice 2466718259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1947 Madison St
Suite B
Clarksville, TN 37043-8033
Phone (931) 614-7169

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Brentwood, TN, CCN 447107
  • Suncrest Home Health Home health agency, Clarksville, TN, CCN 447298
  • Centerwell Home Health Home health agency, Nashville, TN, CCN 447488
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30246NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care TN PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care TN PC Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Centerwell Senior Primary Care TN PC Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Centerwell Senior Primary Care TN PC Family Medicine Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

1947 Madison St
Ste B
Clarksville, TN 37043
Phone (931) 614-7169

4901 Nolensville Rd
Nashville, TN 37211
Phone (615) 760-5022

Interoperability endpoints

  • Direct secure messaging: bethany.davis.1@29601.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1730542663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 MADISON ST STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438033",
            "telephone_number": "931-614-7169",
            "fax_number": "877-958-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 MADISON ST STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438033",
            "telephone_number": "931-614-7169",
            "fax_number": "877-958-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BETHANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "30246",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "30249",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "66265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethany.davis.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1947 Madison St Ste B",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370438033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.