John Junious Davis, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

3461 Austin Peay Hwy
Memphis, TN 38128-3801

Phone

(901) 261-4500

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Primary Care Link LLC

  • Health Service Clinic/Center
  • Memphis, TN
  • NPI 1831344183
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1811099708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8738 SOUTHWIND DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381250751",
            "telephone_number": "901-482-3061",
            "fax_number": "901-377-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 AUSTIN PEAY HWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283801",
            "telephone_number": "901-261-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "JUNIOUS",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollye Carson Davis, RN, BSN
• Irma S. Davis, DPH
• Jared Myles Davis, LPC/MHSP, NCC
• Jenna Kylene Davis, MD
• Jessica Davis
• Kaleigh Defreece Davis, M.S., BCBA
• Kalen Davis, LMSW
• Kannika Marie Davis, FNP
• Kelly Davis, FNP
• Kristen Michelle Davis, CRNA

• Medical Physician Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.