Individual provider Active NPI

Tabatha Brittany Davis, MD

  • Family Medicine Physician
  • Arrington, VA
National Provider Identifier
1851704845
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101263168 Issued in VA
Practice address
4038 Thomas Nelson Hwy
Arrington, VA 22922-2302
Phone
(434) 263-4000
Fax
(434) 263-4160
NPI assigned
Jun 6, 2014
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01075858A IN
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0101263168 VA Primary

Addresses

Primary practice location

4038 Thomas Nelson Hwy
Arrington, VA 22922-2302

Mailing address

4038 Thomas Nelson Hwy
Arrington, VA 22922-2302
Phone (434) 263-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180502000883 VA Practitioner - Family Practice 3476770827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Health Center Inc CurrentSince Oct 7, 2019 Accepting new patients

Locations

624 Jones St
Appomattox, VA 24522
Phone (434) 263-4000

4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000

Organizations & group practices 1

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1851704845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 THOMAS NELSON HWY",
            "city": "ARRINGTON",
            "state": "VA",
            "postal_code": "229222302",
            "telephone_number": "434-263-4000",
            "fax_number": "434-263-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 THOMAS NELSON HWY",
            "city": "ARRINGTON",
            "state": "VA",
            "postal_code": "229222302",
            "telephone_number": "434-263-4000",
            "fax_number": "434-263-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TABATHA",
        "middle_name": "BRITTANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01075858A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101263168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arrington, VA

Sources for this page

Verify at the official NPI Registry.