Scott A Davis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kingsport, TN

Scott A Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kingsport, Tennessee. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice American Anesthesiology Of Tennessee Pc and his current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-4000.

Scott A Davis is licensed to practice in Tennessee (license number 10774) 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 1083609200.

Contact Information

Scott A Davis, CRNA
130 W Ravine Rd,
Kingsport, TN 37660-3837
(423) 224-4000
(423) 224-4746

Map and Direction




Provider's Profile

Full NameScott A Davis
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location130 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Scott A Davis graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1083609200
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 05/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2365493046
  • Enrollment ID: I20050210000261

Medical Identifiers

Medical identifiers for Scott A Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083609200NPI-NPPES
100047850MedicaidTN
4101127OtherTNBLUE SHIELD
74009465MedicaidKY
00013859OtherNHC CARE ADMINISTRATORS
010137276MedicaidVA
175337OtherANTHEM BCBS
TN0100OtherJOHN DEERE
3634345MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 10774 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Anesthesiology Of Tennessee Pc9931001922370

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. Scott A Davis allows following entities to bill medicare on his behalf.
Entity NameAmerican Anesthesiology Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364
Entity NameParagon Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538174974
PECOS PAC ID: 8921044744
Enrollment ID: O20090402000626
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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. Scott A 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 AddressPractice Location Address
Scott A Davis, CRNA
105 W Stone Dr, Suite 6a,
Kingsport, TN 37660-3365

Ph: (423) 408-7220
Scott A Davis, CRNA
130 W Ravine Rd,
Kingsport, TN 37660-3837

Ph: (423) 224-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Kingsport, TN

Mrs. Stacey Ann Ryder, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-4000    
Jeffry M Holweger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663
Phone: 423-426-2121    
Geena Sollecito,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663
Phone: 423-390-0451    
Jeri L Holweger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663
Phone: 423-426-2122    
Mrs. Katherine A Miller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Brookside Dr, Kingsport, TN 37660
Phone: 423-857-7144    
Bethany Kossick Seale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-5711    
Sandra J White, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Brookside Dr, Kingsport, TN 37660
Phone: 423-857-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.