Active NPI
Christopher Chase Davis, NP-C
- Nurse Practitioner
- Lawrenceburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26381
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F08190106 | Other | TN | AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD, INC. |
| Q054852 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Maury Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26381 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Tennessee PC | Current | Accepting new patients | |
| Amg-Crockett, LLC | Nurse Practitioner | Current | Accepting new patients |
| Amg-Crockett, LLC | Current | 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
- christopher.davis.1@19363.direct.athenahealth.com
- 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.
-
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1891580858
-
- Rural Health Clinic/Center
- Mt Pleasant, TN
- NPI 1255069639
-
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1023840998
-
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1417739640
-
- Rural Health Clinic/Center
- Loretto, TN
- NPI 1811543929
-
- Internal Medicine Physician
- Monteagle, TN
- NPI 1699792390
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.