Individual provider Active NPI

Joshua G Davenport, PA-C

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1982297180
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4477 Issued in TN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210430000865 TN Practitioner - Physician Assistant 5991114084 Reassigns benefits to 2 organizations
I20230710002418 VA Practitioner - Physician Assistant 5991114084

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
Shrinkty Medical Services LLCGroup PAC ID 4082081518, 4 clinicians

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

LicenseStateTypeSpecialty
0110008873VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shrinkty Medical Services, LLC CurrentSince Aug 1, 2022 Accepting new patients
Everwell Medical ,LLC CurrentSince Jan 1, 2025 Accepting new patients
County of Hamilton PastSince Dec 1, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.