ANGELA R DAVENPORT NP
NPI 1225648009
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceburg, TN

Q: What is Angela Davenport's NPI number?

The NPI number for Angela Davenport is 1225648009. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Q: What is Angela Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Angela Davenport was last updated on June 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 05, 2020PECOS EnrolledAccepts Medicare Assignment

1090 OLD FLORENCE RD, LAWRENCEBURG, TN 38464(931) 762-6505 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2021, Aug 5, 2020 (2 updates tracked since 2020).

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About Angela R Davenport Np NPPES

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

ANGELA R DAVENPORT NP (NPI 1225648009) is an individual psychiatric/mental health provider in Lawrenceburg, Tennessee, licensed in Tennessee (27979) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225648009

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANGELA R DAVENPORTCredential: NP

Location Address1090 OLD FLORENCE RDLawrenceburg, TN 38464-8401

Mailing Address1090 Old Florence RdLawrenceburg, TN 38464-8401 · (931) 762-6505

Phone(931) 762-6505

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 5, 2020

Last NPPES UpdateJune 25, 20212 updates tracked since enumeration

NPPES CertifiedJune 25, 2021

✔ NPI 1225648009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TN · 27979

1090 OLD FLORENCE RD, Lawrenceburg, TN 38464

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela R Davenport Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678985637

PECOS Enrollment IDI20201215003220

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month G2087

This treatment for opioid use disorder involves regular office visits for coordinated care, individual and group therapy. It aims to manage withdrawal symptoms, prevent relapse, and promote recovery. It's a 60-minute procedure, repeated monthly.

90 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38464 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.

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Other Providers at the Same Location NPPES 20

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

MISTY LEE GALLIMORE LMSW

Counselor (Mental Health)