Individual provider Active NPI

Jaime Davis Byrum, PNP, FNP

  • Pediatric Nurse Practitioner
  • La Follette, TN
National Provider Identifier
1740362037
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
8099 Issued in TN
Practice address
2205 Jacksboro PK
Lafollette, TN 37766
Phone
(423) 352-6500
Fax
(423) 352-6501
NPI assigned
Oct 19, 2006
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8099 TN
Pediatric Nurse Practitioner 363LP0200X APN8099 TN
Pediatric Nurse Practitioner 363LP0200X 8099 TN Primary

Addresses

Primary practice location

2205 Jacksboro PK
Lafollette, TN 37766

Mailing address

2205 Jacksboro PK
Lafollette, TN 37766
Phone (423) 352-6500

Other names 1

  • Ms. Jaime D Davis Former name

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
I20250924002794 TN Practitioner - Nurse Practitioner 8628573359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Center for Behavioral Medicine LLCGroup PAC ID 0244624195, 20 clinicians
Eastlake Medical, PLLCGroup PAC ID 6901174788, 6 clinicians

Practice addresses (Care Compare)

1240 Tennova Medical Way
Knoxville, TN 37909-3120
Phone (865) 444-3770

2205 Jacksboro Pike
La Follette, TN 37766-2904
Phone (423) 352-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8099TNMDSocial Worker
APN8099TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastlake Medical, PLLC CurrentSince Jun 12, 2025 Accepting new patients
Knoxville Center for Behavioral Medicine LLC CurrentSince Dec 16, 2025 Accepting new patients
Acute Behavioral Health of Tennessee PC PastSince Dec 16, 2025 Accepting new patients
Westbrook Medical Center, PLLC Past Accepting new patients

Locations

1240 Tennova Medical Way
Knoxville, TN 37909
Phone 8654443770 ext. 1006

2205 Jacksboro Pike
La Follette, TN 37766
Phone (423) 352-6500

2205 Jacksboro Pike
Ste 6
La Follette, TN 37766
Phone (423) 352-6500

Interoperability endpoints

  • Direct secure messaging: jdavis@wbmc.adaptamed.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1740362037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 JACKSBORO PK",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "37766",
            "telephone_number": "423-352-6500",
            "fax_number": "423-352-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 JACKSBORO PK",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "37766",
            "telephone_number": "423-352-6500",
            "fax_number": "423-352-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRUM",
        "first_name": "JAIME",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "PNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "8099",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN8099",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "8099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "DAVIS",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.