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Deactivated NPI 1477653848 Deactivated / Inactive NPI Male Practitioner

Ivan R Davis

Surgery • Murfreesboro, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ivan Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2006
NPI Deactivation Date October 06, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Ivan Davis was a registered Surgery practicing in Murfreesboro, TN. Throughout an active medical career spanning 16 years, Ivan Davis provided care at the practice location at 3400 LEBANON PIKE until profile deactivation on 2022-10-06.

Practice Location & Contact Primary Location

Practice Address

3400 Lebanon Pike

Murfreesboro, TN 37129

Telephone 6158676000
Associated Practice Facility / Clinic
🏢 Alvin C. York Vamc Facility NPI 1518245505

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Murfreesboro, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Murfreesboro, TN (682 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN MD8739

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Joyline James , MD

Internal Medicine - Geriatric Medicine

NPI 1013012186

Doctor of Medicine (M.D.)

Dr. Smita Bajpai , MD

Family Medicine

NPI 1013198274

Doctor of Medicine (M.D.)

Tammy Warren , NP

Nurse Practitioner - Adult Health

NPI 1013308642

Nurse Practitioner

Dr. Valarie Moore , MD

Internal Medicine

NPI 1023190378

Doctor of Medicine (M.D.)

Dr. Jennifer Baker , RPH, PharmD

Pharmacist - Ambulatory Care

NPI 1023207222

Registered Pharmacist, Doctor of Pharmacy (Pharm.D.)

Tammy Shipley , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033158001

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 06, 2022

Record deactivated on October 06, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3400 LEBANON PIKE, MURFREESBORO, TN 37129 (Tel: 6158676000)

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Updated Business Mailing Address July 08, 2007

Registered at 3501 ALBION ST., NASHVILLE, TN 37209

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Provider Name / Credentials Updated July 08, 2007

Recorded as IVAN DAVIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #MD8739 in TN)

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Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477653848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 08, 2007
Deactivation Date: October 06, 2022

Mailing Address

3501 Albion St.

Nashville, TN 37209

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.