JUSTIN DAVIS PMHNP
NPI 1417768169
Nurse Practitioner - Psychiatric/Mental Health in Cookeville, TN

Q: What is Justin Davis's NPI number?

The NPI number for Justin Davis is 1417768169. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Q: What is Justin Davis'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 Justin Davis was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since January 14, 2025PECOS EnrolledAccepts Medicare Assignment

1225 S WILLOW AVE STE 102, COOKEVILLE, TN 38506(931) 284-4814(615) 549-7044 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2025, Mar 10, 2025 (2 updates tracked since 2025).

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About Justin Davis Pmhnp NPPES

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

JUSTIN DAVIS PMHNP (NPI 1417768169) is an individual psychiatric/mental health provider in Cookeville, Tennessee, licensed in Tennessee (38299) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417768169

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJUSTIN DAVISCredential: PMHNP

Location Address1225 S WILLOW AVE STE 102Cookeville, TN 38506-4102

Mailing Address529 Pleasant Hill DrCookeville, TN 38501-2850 · (931) 267-8866

Phone(931) 284-4814

Fax(615) 549-7044

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 14, 2025

Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1417768169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in TN · 38299

Also ListedRegistered NurseTaxonomy 163W00000X · License 0000235209 (TN)

1225 S WILLOW AVE STE 102, Cookeville, TN 38506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Davis Pmhnp 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 ID2264954676

PECOS Enrollment IDI20250314001472

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 Reassignments

Medicare enrollment records show Justin Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cedar Recovery Center Of Middle Tennessee, LLC

93 mi

Addiction Medicine

1512 HATCHER LN
Columbia, TN 38401

Reassigned Medicare billing, Tennessee enrollment
64 clinicians in this Medicare group

NPI 1801345285 (931) 948-8882

Grow Healthcare Group PA

780 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Tennessee enrollment
315 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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 38506 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.

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 Justin Davis's NPI number?

The NPI number for Justin Davis is 1417768169. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Justin Davis located?

Justin Davis practices at 1225 S Willow Ave Ste 102, Cookeville, TN 38506. The listed phone number is (931) 284-4814.

What is Justin Davis's specialty?

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

Is Justin Davis enrolled in Medicare?

Yes. Justin Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Davis reassigns Medicare benefits to 2 organizations: Cedar Recovery Center Of Middle Tennessee, LLC (Columbia, TN) and Grow Healthcare Group PA (Miami, FL). Each 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 Justin Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Davis accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Justin Davis 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 Justin Davis was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.