Individual provider Active NPI

Christopher Chase Davis, NP-C

  • Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1962058867
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26381 Issued in TN
Practice address
2019 N Locust Ave
Lawrenceburg, TN 38464-2337
Phone
(931) 762-1800
Fax
(931) 762-9155
NPI assigned
Aug 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26381 TN
Nurse Practitioner 363L00000X 26381 TN Primary

Addresses

Primary practice location

2019 N Locust Ave
Lawrenceburg, TN 38464-2337

Mailing address

912 W College St
Pulaski, TN 38478-3630
Phone (931) 424-9797

Other practice location 1

202 Joe Ave
Hohenwald, TN 38462-2002
Phone (931) 796-9797

Other practice location 2

912 W College St
Pulaski, TN 38478-3630
Phone (931) 424-9797

Other practice location 3

326 N Locust Ave
Lawrenceburg, TN 38464-3516
Phone (931) 762-9797

Other identifiers 2

IdentifierTypeStateIssuer
F08190106OtherTNAMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD, INC.
Q054852MedicaidTN

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
I20191218001967 TN Practitioner - Nurse Practitioner 9335573781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Crockett, LLC 38 clinicians

Practice addresses (Care Compare)

1275 E College St
Pulaski, TN 38478-4545

1321 S Locust Ave
Lawrenceburg, TN 38464-4040
Phone (931) 766-3637

1329 S Locust Ave
Lawrenceburg, TN 38464-4040
Phone (931) 903-2410

Hospital & facility affiliations

  • Southern Tennessee Regional Health System Lawrence Hospital, Lawrenceburg, TN, CCN 440175
  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26381TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Tennessee PC CurrentSince Nov 1, 2020 Accepting new patients
Amg-Crockett, LLC Nurse Practitioner CurrentSince Nov 1, 2019 Accepting new patients
Amg-Crockett, LLC CurrentSince Nov 1, 2019 Accepting new patients
Amg-Crockett LLC Past Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients

Locations

1323 S Locust Ave
Lawrenceburg, TN 38464
Phone (931) 766-0077

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

2019 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-1800

2019 N Locust Ave
Ste 1
Lawrenceburg, TN 38464

4955D Highway 43 N
Mt Pleasant, TN 38474
Phone (931) 964-0849

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: christopher.davis.1@19363.direct.athenahealth.com
  • Direct secure messaging: ddi7871@yourcarecommunity.org

Organizations & group practices 8

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 3

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1962058867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783630",
            "telephone_number": "931-424-9797",
            "fax_number": "931-424-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642337",
            "telephone_number": "931-762-1800",
            "fax_number": "931-762-9155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Joe Ave",
            "address_purpose": "LOCATION",
            "city": "Hohenwald",
            "state": "TN",
            "postal_code": "384622002",
            "country_code": "US",
            "telephone_number": "931-796-9797",
            "fax_number": "931-295-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 W College St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "TN",
            "postal_code": "384783630",
            "country_code": "US",
            "telephone_number": "931-424-9797",
            "fax_number": "931-424-9788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 N Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643516",
            "country_code": "US",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHASE",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26381",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "26381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD, INC.",
            "identifier": "F08190106",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q054852",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.