Clinton Davis, APRN, PMHNP in Kingsport, TN - Medicare Nurse Practitioner

Clinton Davis, APRN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kingsport, Tennessee. He went to Vanderbilt University School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sbh-kingsport and his current practice location is 1025 Executive Park Blvd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 830-8110.

Clinton Davis is licensed to practice in Tennessee (license number 28302) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205443058.

Contact Information

	Clinton Davis, APRN, PMHNP
	1025 Executive Park Blvd, Kingsport, TN 37660-4620
	(423) 830-8110
	Not Available

Map and Direction

Provider's Profile

Full Name	Clinton Davis
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1025 Executive Park Blvd, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clinton Davis attended and graduated from Vanderbilt University School Of Medicine in 2020

NPI Data:

NPI Number: 1205443058
Provider Enumeration Date: 09/25/2020
Last Update Date: 09/25/2020

Medicare PECOS Information:

PECOS PAC ID: 3274953922
Enrollment ID: I20201019000395

Medical Identifiers

Medical identifiers for Clinton Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205443058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	28302 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sbh-kingsport	8325399256	9

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clinton Davis allows following entities to bill medicare on his behalf.

Entity Name	Medpsych Inc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962828137 PECOS PAC ID: 2264655877 Enrollment ID: O20140529002275

Entity Name	Sbh-kingsport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174038749 PECOS PAC ID: 8325399256 Enrollment ID: O20190725001314

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clinton Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Clinton Davis, APRN, PMHNP 458 Hunters Crossing Ln, Kingsport, TN 37664-5453 Ph: (423) 341-4475	Clinton Davis, APRN, PMHNP 1025 Executive Park Blvd, Kingsport, TN 37660-4620 Ph: (423) 830-8110

Reviews and Comments

Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077
Lauren Ashley Ernst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: --
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333

Clinton Davis, APRN, PMHNP - Medicare Nurse Practitioner in Kingsport, TN