Active NPI
Anna F Davis, PHD
- Cognitive & Behavioral Psychologist
- Bartlett, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 01224
- Practice address
- 3173 Kirby Whitten Rd
#104
Bartlett, TN 38134-2881 - Phone
- (901) 685-3697
- Fax
- (901) 302-9240
- NPI assigned
- Aug 24, 2006
- Last updated
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 01224 | TN | Primary |
| Clinical Psychologist | 103TC0700X | 1224 | TN |
Addresses
Primary practice location
3173 Kirby Whitten Rd
#104
Bartlett, TN 38134-2881
Mailing address
3173 Kirby Whitten Rd Ste 104
Bartlett, TN 38134-2881
Phone (901) 384-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q017419 | Medicaid | TN |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3173 Kirby Whitten Rd
Suite 104
Bartlett, TN 38134-2881
Phone (901) 384-8040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Center for Women and Families | Clinical | Current | Accepting new patients |
| Psychiatry Group PLLC | Current | Accepting new patients | |
| Adrain B. Blotner MD PC | Past | Accepting new patients |
Locations
3173 Kirby Whitten Rd
Ste 104
Bartlett, TN 38134
Phone (901) 384-3606
5154 Stage Rd
Ste 102
Memphis, TN 38134
Phone (901) 372-9133
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Bartlett, TN
- NPI 1932204690
-
- Clinical Psychologist
- Memphis, TN
- NPI 1578894887
-
- Neurology Physician
- Memphis, TN
- NPI 1740459817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1780791897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3173 KIRBY WHITTEN RD STE 104",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381342881",
"telephone_number": "901-384-8040",
"fax_number": "901-309-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3173 KIRBY WHITTEN RD",
"address_2": "#104",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381342881",
"telephone_number": "901-685-3697",
"fax_number": "901-302-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ANNA",
"middle_name": "F",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TN",
"license": "01224",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "1224",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q017419",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.