Tammy Jean Davidson, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024176649 Issued in VA

Practice address

2011 2ND St
Richlands, VA 24641-2305

Phone

(276) 345-9900

Fax

(276) 345-9901

NPI assigned

Jan 2, 2019

Last updated

Aug 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Virginia Community Health Systems IncorporatedGroup PAC ID 4880502707, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southwest Virginia Community Health Systems Incorporated

  • Federally Qualified Health Center (FQHC)
  • Saltville, VA
  • NPI 1811967169
  Medicare reassignment Care Compare group NPD
• Southwest Virginia Community Health Systems Inc.

  dba High Point Elementary School

  • Federally Qualified Health Center (FQHC)
  • Bristol, VA
  • NPI 1912720459
  NPD
• East Tennessee Recovery, PLLC

  dba New Life Medicine

  • Addiction Medicine (Internal Medicine) Physician
  • Johnson City, TN
  • NPI 1114462215
  NPD

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1942773908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 SUSANNAH ST STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011765",
            "telephone_number": "423-434-6677",
            "fax_number": "423-461-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 2ND ST",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412305",
            "telephone_number": "276-345-9900",
            "fax_number": "276-345-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "TAMMY",
        "middle_name": "JEAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024176649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942773908",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Oncology Group, LLC
• Community-Based Services LLC (The Diabetes Education Center)
• Logan Cook, FNP
• Thomas Brian Cortellesi, DO
• Nona Crouse, NP
• John Evan Davis, MD
• Debra J. Thomas, M.D., PC
• Roxanne M Decker, CRNA
• Diagnostic Imaging Associates
• Sierra Dunford

• Adult Health Nurse Practitioner in Richlands, VA
• Providers in Richlands, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.

Verify at the official NPI Registry.