Active NPI
Michelle L Davis, NP
- Nurse Practitioner
- Athens, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN16622
- Practice address
- 401 W Washington Ave
Athens, TN 37303-3468 - Phone
- (423) 745-6610
- Fax
- (423) 745-6360
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN16622 | TN | Primary |
Addresses
Primary practice location
401 W Washington Ave
Athens, TN 37303-3468
Mailing address
PO Box 808
Kingston, TN 37763-0808
Phone (423) 442-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q000332 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 W Washington Ave
Athens, TN 37303-3468
Phone (423) 745-6610
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN16622 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madisonville Primary Care Group PLLC | Current | Accepting new patients | |
| Madisonville Primary Care Group PLLC | Current | Accepting new patients |
Locations
401 W Washington Ave
Athens, TN 37303
Phone (423) 744-8400
723 N Tennessee Ave
Etowah, TN 37331
Phone (423) 263-2100
3959 Highway 411
Madisonville, TN 37354
Phone (423) 442-2121
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Madisonville, TN
- NPI 1861780496
-
- Rural Health Clinic/Center
- Athens, TN
- NPI 1326768870
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sweetwater, TN
- NPI 1366441370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1881951994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 808",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377630808",
"telephone_number": "423-442-2121",
"fax_number": "423-545-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W WASHINGTON AVE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033468",
"telephone_number": "423-745-6610",
"fax_number": "423-745-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN16622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q000332",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.