Individual provider Active NPI

Michelle L Davis, NP

  • Nurse Practitioner
  • Athens, TN
National Provider Identifier
1881951994
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN16622 Issued in TN
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

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q000332MedicaidTN

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
I20120910000819 TN Practitioner - Nurse Practitioner 5890943237 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
APN16622TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madisonville Primary Care Group PLLC CurrentSince Nov 1, 2025 Accepting new patients
Madisonville Primary Care Group PLLC CurrentSince Nov 1, 2025 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.