Active NPI
Benny C Davis, CRNA
- Certified Registered Nurse Anesthetist
- Sevierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN52524
- Practice address
- 709 Middle Creek Rd
Sevierville, TN 37862-5047 - Phone
- (952) 442-9770
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN52524 | TN | Primary |
Addresses
Primary practice location
709 Middle Creek Rd
Sevierville, TN 37862-5047
Mailing address
233 W 1St St
Waconia, MN 55387-1302
Phone (952) 442-9770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3028585 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3601996 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN, SC
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9113 | TN | MD | Pharmacist |
| RN52524 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Tennessee Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pathology Associates of Greenville PA | Current | Accepting new patients | |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Unity Urology PC | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Nurse Anesthesia of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sevier Anesthesia Associates, P.C | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Upper Cumberland Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
189 Liberty Way
Greeneville, TN 37745
Phone (423) 638-4046
10461 Wallace Alley St
Kingsport, TN 37663
Phone (423) 279-1400
12752 Kingston Pike
Ste E202
Knoxville, TN 37934
Phone (877) 277-9030
550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000
550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772
Organizations & group practices 12
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.
-
- Certified Registered Nurse Anesthetist
- Kingsport, TN
- NPI 1437436102
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- Urology Physician
- Greeneville, TN
- NPI 1386654226
-
- General Acute Care Hospital
- Seneca, SC
- NPI 1275941528
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, SC
- NPI 1831151976
-
- General Acute Care Hospital
- Clinton, SC
- NPI 1245786367
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1811439649
-
- Certified Registered Nurse Anesthetist
- Sevierville, TN
- NPI 1629068416
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Cookeville, TN
- NPI 1710919980
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
- NPI 1689628729
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1821088733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 W 1ST ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871302",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 MIDDLE CREEK RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378625047",
"telephone_number": "952-442-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BENNY",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN52524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3028585",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3601996",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.