MICHAEL JAMES DAVIDSON D.O. NPI 1740240902

NPI Information

  • NPI: 1740240902
  • Provider Name: MICHAEL JAMES DAVIDSON, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1090 N ELLINGTON PKWY
    SUITE 102
    LEWISBURG, TN
    ZIP 37091
  • Phone: (913) 359-0019

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NPI Details

Michael James Davidson, D.O. is a family medicine in Lewisburg, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Michael James Davidson, D.O. NPI is 1740240902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1090 N ELLINGTON PKWY
SUITE 102
LEWISBURG, TN
ZIP 37091-227
Phone: (913) 359-0019
Fax: (931) 359-7381

The NPI 1740240902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 11/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineDO781TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13302360MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEMEDICARE NUMBER
23710089MEDICAIDTENNESSEE
33130078OTHERTENNESSEEBLUE CROSS NUMBER
4E05414MEDICARE UPINTENNESSEE
53302360MEDICAIDTENNESSEE
63710089MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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