Christopher Chase Davis (NPI# 1962058867, PAC ID# 9335573781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962058867 |
| PAC ID by PECOS | 9335573781 |
| Professional Enrollment ID | I20191218001967 |
| Full Name | Christopher Chase Davis |
| Organization Legal Name | AMG-CROCKETT, LLC |
| Address |
2019 N Locust Ave Lawrenceburg TN 38464-2337 |
| Phone Number | 9317621800 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789770199 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440175 | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE |
| Address | Phone | Organization |
|---|---|---|
| 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 | 9317621800 | AMG-CROCKETT, LLC |
| 4955d Hwy 43 N, Mt Pleasant, TN 38474-5010 | 9319640849 | AMG-CROCKETT, LLC |
| Organization Legal Name | AMG-CROCKETT, LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Racheal M Kightlinger | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| John P. Kristofich | Cardiovascular Disease (cardiology) | Amg-crockett, LLC | 1611 S Locust Ave, Suite 200b, Lawrenceburg, TN 38464-4055 |
| Alvin Matthew Maliakal | Internal Medicine | Amg-crockett, LLC | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 |
| Katrina M. Dial | Certified Nurse Midwife (cnm) | Amg-crockett, LLC | 1605 S Locust Ave, Suite 101, Lawrenceburg, TN 38464-4053 |
| Tracey K Williams | Nurse Practitioner | Amg-crockett, LLC | 4955d Hwy 43 N, Mount Pleasant, TN 38474-5010 |
| Norman Mcnulty | Neurology | Amg-crockett, LLC | 1321 S Locust Ave, Lawrenceburg, TN 38464-4040 |
| Elbert G Warren | Obstetrics/gynecology | Amg-crockett, LLC | 106 S Military St, B, Loretto, TN 38469-2100 |
| Haley Beecham Phillips | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Amanda D Haneline | Obstetrics/gynecology | Amg-crockett, LLC | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 |
| Brooke Huffsmith | Obstetrics/gynecology | Amg-crockett, LLC | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 |
| Street Address |
2019 N LOCUST AVE |
| City | LAWRENCEBURG |
| State | TN |
| Zip | 38464-2337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Racheal M Kightlinger | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Haley Beecham Phillips | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Leslie N Bedford | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Jennifer C Bowling | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Will | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1607s Locust Ave Hwy 43, Lawrenceburg, TN 38464 |
| Jason Arden Mccawley | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1607s Locust Ave Hwy 43, Lawrenceburg, TN 38464 |
| Shonda Danielle Morris | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Kellie D Coffey | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Richard D Kennedy | Family Medicine | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Wanda Moore | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Jason Fort | Optometry | 307 Geri St, Lawrenceburg, TN 38464-2361 | |
| Larry A Loyd | Optometry | 307 Geri St, Lawrenceburg, TN 38464-2361 | |
| Raja A Atiyah | Otolaryngology | Raja A. Atiyah, Md PC | 1626 Business Ave, Lawrenceburg, TN 38464-2398 |
| David M Magas | Family Medicine | Patsy J Burks | 609 Buffalo Rd, Lawrenceburg, TN 38464-2420 |
| Find all physicians in zip 38464 | |||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAWRENCEBURG + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.