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

Justin Davis, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cookeville, Tennessee. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cedar Recovery Center Of Middle Tennessee, Llc and 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 38299) 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 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 Name	Justin Davis
Gender	Male
Speciality	Nurse Practitioner
Experience	1 Years
Location	1225 S Willow Ave Ste 102, Cookeville, 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:

Justin Davis graduated from nursing school in 2024

NPI Data:

NPI Number: 1417768169
Provider Enumeration Date: 01/14/2025
Last Update Date: 07/10/2025

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.

Identifier	Type	State	Issuer
1417768169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0000235209 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	38299 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cedar Recovery Center Of Middle Tennessee, Llc	0446671440	35

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 Name	Volunteer Behavioral Health Care System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043267107 PECOS PAC ID: 3678485802 Enrollment ID: O20031206000098

Entity Name	Cedar Recovery Center Of Middle Tennessee, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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: Medicare Enrolled 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

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