Travonda Davis Pirtle, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2824 Issued in TN

Practice address

5651 Frist Blvd Ste 712
Hermitage, TN 37076-2061

Phone

(615) 872-9966

Fax

(615) 872-9967

NPI assigned

Jul 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Travonda Mekia Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

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

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.

• Center for Spine, Joint & Neuromuscular Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Mt. Juliet, TN
  • NPI 1639102650
  NPD (past)
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, NC
  • NPI 1689626178
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861704538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 712",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762061",
            "telephone_number": "615-872-9966",
            "fax_number": "615-872-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 712",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762061",
            "telephone_number": "615-872-9966",
            "fax_number": "615-872-9967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275365923",
            "country_code": "US",
            "telephone_number": "252-438-3549",
            "fax_number": "252-438-2084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRTLE",
        "first_name": "TRAVONDA",
        "middle_name": "DAVIS",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02350",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101401",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRAVONDA",
            "last_name": "DAVIS",
            "middle_name": "MEKIA",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Physiotherapy Alliance, LLC
• Physiotherapy Associates Inc
• Brian Pinardi, M.S., BCBA
• John Franklin Pinkard, MD
• Pinnacle Spine Specialists PLLC
• Nathan Pomerleau
• Ashley Nicole Poole, LMSW
• John M Pope, MD
• Sephera Nicole Popovitch
• Anand Nilay Popuri, D.O.

• Medical Physician Assistant in Hermitage, TN
• Providers in Hermitage, 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 21, 2022; 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.