Justin Davis, PMHNP - Medicare Nurse Practitioner in Cookeville, TN

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Justin Davis, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cookeville, Tennessee. His current practice location is 1225 S Willow Ave Ste 102, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 284-4814.

Justin Davis is licensed to practice in Tennessee (license number 235209) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417768169.

Contact Information

Justin Davis, PMHNP
1225 S Willow Ave Ste 102,
Cookeville, TN 38506-4102
(931) 284-4814
(615) 549-7044

Map and Direction




Provider's Profile

Full NameJustin Davis
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1225 S Willow Ave Ste 102, Cookeville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417768169
  • Provider Enumeration Date: 01/14/2025
  • Last Update Date: 03/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264954676
  • Enrollment ID: I20250314001472

Medical Identifiers

Medical identifiers for Justin Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417768169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0000235209 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 235209 (Tennessee)Primary

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. Justin Davis allows following entities to bill medicare on his behalf.
Entity NameCedar Recovery Center Of Middle Tennessee, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801345285
PECOS PAC ID: 0446671440
Enrollment ID: O20200529001321

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. Justin 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
Justin Davis, PMHNP
529 Pleasant Hill Dr,
Cookeville, TN 38501-2850

Ph: (931) 267-8866		Justin Davis, PMHNP
1225 S Willow Ave Ste 102,
Cookeville, TN 38506-4102

Ph: (931) 284-4814

Reviews and Comments


Nurse Practitioner Nurses in Cookeville, TN

Amy Jo Emerick, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 509 N Cedar Ave, Cookeville, TN 38501
Phone: 931-520-8435    
Cathleen Delane Stewart, NURSE PRACTIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 758 S Willow Ave., Cookeville, TN 38501
Phone: 931-526-6173    Fax: 931-526-5084
Laura June Young, FAMILY PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Neal St, Cookeville, TN 38501
Phone: 931-528-8593    
Sarah Brady, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 W 3rd St, Cookeville, TN 38501
Phone: 931-528-9047    
Mrs. Karen Candace Norrod, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Willow Ave, Cookeville, TN 38506
Phone: 931-349-4603    
Joseph C Archer, ANP C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 S Willow Ave, Cookeville, TN 38501
Phone: 931-526-9518    Fax: 931-372-0087
Japheth F Harding, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 N Willow Ave, Cookeville, TN 38501
Phone: 931-528-8899    Fax: 931-528-5121

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.