Active NPI
Joshua G Davenport, PA-C
- Physician Assistant
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4477
- Practice address
- 249 Central Park Avenue
Suite 300-161
Virginia Beach, VA 23462-3099 - Phone
- (615) 994-1000
- Fax
- (615) 994-0100
- NPI assigned
- Feb 18, 2021
- Last updated
- Jun 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4477 | TN | |
| Physician Assistant | 363A00000X | 0110008873 | VA | |
| Physician Assistant | 363A00000X | 4477 | TN | Primary |
| Medical Physician Assistant | 363AM0700X | 0110008873 | VA |
Addresses
Primary practice location
249 Central Park Avenue
Suite 300-161
Virginia Beach, VA 23462-3099
Mailing address
477 N Chancery St # 5
McMinnville, TN 37110-8901
Phone (931) 365-2175
Other practice location 1
477 N Chancery St Ste 5
McMinnville, TN 37110-8901
Phone (931) 365-2175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2462 Old Fort Pkwy
Murfreesboro, TN 37128-4163
Phone (615) 716-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110008873 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shrinkty Medical Services, LLC | Current | Accepting new patients | |
| Everwell Medical ,LLC | Current | Accepting new patients | |
| County of Hamilton | Past | Accepting new patients |
Locations
118 Highway 70 E
Ste 1
Dickson, TN 37055
Phone (615) 410-3137
404 E College St
Ste K
Dickson, TN 37055
Phone (615) 716-8255
477 N Chancery St
McMinnville, TN 37110
Phone (931) 365-2175
477 N Chancery St
#5
McMinnville, TN 37110
477 N Chancery St
Ste 5
McMinnville, TN 37110
Phone (931) 365-2175
2462 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 716-8255
2464 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 410-3137
Organizations & group practices 3
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.
-
dba Shrinkty
- Substance Abuse Rehabilitation Facility
- Murfreesboro, TN
- NPI 1568190890
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Murfreesboro, TN
- NPI 1902670870
-
dba Hamilton County Health Department
- Public Health or Welfare Agency
- Chattanooga, TN
- NPI 1386665594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1982297180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 N CHANCERY ST # 5",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371108901",
"telephone_number": "931-365-2175",
"fax_number": "615-893-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 CENTRAL PARK AVENUE",
"address_2": "SUITE 300-161",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623099",
"telephone_number": "615-994-1000",
"fax_number": "615-994-0100"
}
],
"practiceLocations": [
{
"address_1": "477 N Chancery St Ste 5",
"address_purpose": "LOCATION",
"city": "McMinnville",
"state": "TN",
"postal_code": "371108901",
"country_code": "US",
"telephone_number": "931-365-2175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVENPORT",
"first_name": "JOSHUA",
"middle_name": "G",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-18",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "4477",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008873",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "4477",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110008873",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Dau T. Le, M.D., LLC.
- Caroline Daugherty
- Nancy Daugherty
- Samantha Daugherty, MA, CF-SLP
- Arshima Davenport
- David L. Jones, DDS & Assoc., PC (A Division of Atlantic Dental Care)
- David L. Jones, DDS & Associates, PC
- David M Portner, PH.D. PLC
- David R Cox, P.a.
- David R. Farmer OD PC (David R. Farmer, OD PC D/B/A Kempsville Eye Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.