JULIA E DAVENPORT FNP
NPI 1063822773
Nurse Practitioner - Family in Johnson City, TN

Active since May 02, 2014PECOS Enrolled
1 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604(423) 232-6900(423) 232-6903 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2017, Feb 1, 2017 (2 updates tracked since 2017).

About Julia E Davenport Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIA E DAVENPORT FNP (NPI 1063822773) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (18666) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063822773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJULIA E DAVENPORTCredential: FNP
Location Address1 PROFESSIONAL PARK DR, SUITE 21Johnson City, TN 37604-6587
Mailing Address1 Professional Park Dr, Suite 21Johnson City, TN 37604-6587 · (423) 232-6900 · Fax (423) 232-6903
Fax(423) 232-6903
Sole ProprietorNo
Enumeration DateMay 2, 2014
Last NPPES UpdateFebruary 21, 20172 updates tracked since enumeration
✔ NPI 1063822773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 18666
1 PROFESSIONAL PARK DR, Johnson City, TN 37604

Other Identifiers 3

Medicaid1063822773VA
MedicaidQ005637TN
Medicare PIN10350I1086TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julia E Davenport Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Julia Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
310 N STATE OF FRANKLIN RD, STE 301A
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Medical Oncology)
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Internal Medicine (Medical Oncology)
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
1 PROFESSIONAL PARK DR
JOHNSON CITY, TN 37604
Family Medicine
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Nurse Practitioner
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Nurse Practitioner
1 PROFESSIONAL PARK DR, SUITE 18
JOHNSON CITY, TN 37604
Social Worker (Clinical)
1 PROFESSIONAL PARK DR, SUITE 21 ROOM C-17
JOHNSON CITY, TN 37604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julia Davenport's NPI number?

The NPI number for Julia Davenport is 1063822773. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Julia Davenport located?

Julia Davenport practices at 1 Professional Park Dr Suite 21, Johnson City, TN 37604. The listed phone number is (423) 232-6900.

What is Julia Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Julia Davenport enrolled in Medicare?

Yes. Julia Davenport is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Julia Davenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Davenport reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Johnson City, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julia Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julia Davenport accept?

Health plans from Cigna Healthcare list Julia Davenport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julia Davenport was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.