Individual provider Active NPI

Rosemary E Davenport, N.P.

  • Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1811900095
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6065 Issued in TN
Practice address
1222 Trotwood Ave Ste 101
Columbia, TN 38401-6404
Phone
(931) 490-7372
Fax
(931) 490-7379
NPI assigned
Aug 15, 2006
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6065 TN Primary
Acute Care Nurse Practitioner 363LA2100X APN6065 TN
Family Nurse Practitioner 363LF0000X APN6065 TN

Addresses

Primary practice location

1222 Trotwood Ave Ste 101
Columbia, TN 38401-6404

Mailing address

854 W James M Campbell Blvd Ste 303
Columbia, TN 38401-4672
Phone (931) 490-7372

Other identifiers 3

IdentifierTypeStateIssuer
3710089MedicaidTN
3928039MedicaidTN
4136771OtherTNBCBST

Other names 1

  • Rosemary Scott 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
I20040210000067 TN Practitioner - Nurse Practitioner 9638063829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

1222 Trotwood Ave
Columbia, TN 38401-6404

3316 Hwy 43 N
Suite 200
Ethridge, TN 38456-2136
Phone (931) 244-6090

854 W James Campbell
Suite 303
Columbia, TN 38401-4672

854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6065TNMDNurse Practitioner
APN6065TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Nurse Practitioner CurrentSince May 8, 2019 Accepting new patients
Maury Regional Medical Group, Inc Acute Care CurrentSince Apr 11, 2022 Accepting new patients
Unity Hospice Care of Tennessee, LLC CurrentSince Apr 1, 2018 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Apr 11, 2022 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 8, 2019 Accepting new patients
Maury Regional Hospital Past Accepting new patients
Family Health Group Inc Past Accepting new patients
Sutton Behavioral Health, LLC Past Accepting new patients
Frances a Berry-Brown MD Past Accepting new patients

Locations

1125 Schilling Blvd E
Ste 101
Collierville, TN 38017
Phone (901) 756-7322

1040 N James M Campbell Blvd
Ste 101
Columbia, TN 38401
Phone (931) 388-8802

1222 Trotwood Ave
Ste 101
Columbia, TN 38401
Phone (931) 490-7348

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

204 N Military Ave
Lawrenceburg, TN 38464
Phone (931) 244-6722

202 E School St
Linden, TN 37096
Phone (931) 589-2010

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HICCAA

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1811900095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES M CAMPBELL BLVD STE 303",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014672",
            "telephone_number": "931-490-7372",
            "fax_number": "931-490-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 101",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016404",
            "telephone_number": "931-490-7372",
            "fax_number": "931-490-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ROSEMARY",
        "middle_name": "E",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "6065",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN6065",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN6065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3928039",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4136771",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARY",
            "last_name": "SCOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.