DR. TONY WAYNE DAVIS JR. M.D.
NPI 1609142611
Family Medicine in Knoxville, TN

Q: What is Tony Davis's NPI number?

The NPI number for Tony Davis is 1609142611. It was assigned to this individual provider in the NPPES registry on March 25, 2012.

Q: What is Tony Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tony Davis was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 25, 2012PECOS EnrolledAccepts Medicare Assignment

2018 WESTERN AVE, KNOXVILLE, TN 37921(865) 544-0406(865) 544-0480 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2020, May 21, 2019 (2 updates tracked since 2019).

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About Dr. Tony Wayne Davis Jr. M.d. NPPES

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

DR. TONY WAYNE DAVIS JR. M.D. (NPI 1609142611) is an individual family medicine provider in Knoxville, Tennessee, licensed in Tennessee (MD56884) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Ellenville Regional Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609142611

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TONY WAYNE DAVIS JR.Credential: M.D.

Location Address2018 WESTERN AVEKnoxville, TN 37921-5718

Mailing Address1824 Madison Ave Fl 5New York, NY 10035-3832 · (212) 423-4500

Phone(865) 544-0406

Fax(865) 544-0480

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 25, 2012

Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1609142611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TN · MD56884✔ Licensed in NY · 280163

Definition

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.

2018 WESTERN AVE, Knoxville, TN 37921

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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

Dr. Tony Wayne Davis Jr. M.d. 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 ID6608024799

PECOS Enrollment IDI20150916000481, I20180815002474

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 Tony Davis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, PLLC

0.8 mi

Internal Medicine

2240 SUTHERLAND AVE, SUITE 104
Knoxville, TN 37919

Reassigned Medicare billing, Tennessee enrollment
1,003 clinicians in this Medicare group

NPI 1528378726 (865) 909-0090

Cherokee Health Systems

34 mi

Federally Qualified Health Center (FQHC)

6350 W ANDREW JOHNSON HWY
Talbott, TN 37877

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

NPI 1134128820 (423) 587-7337

Dx Mso, PLLC

95 mi

Urgent Care

1521 GUNBARREL RD, STE 103
Chattanooga, TN 37421

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

NPI 1225381148 (423) 531-0911

The Institute For Family Health

631 mi

Family Medicine

300 CADMAN PLZ W, 17TH FLOOR
Brooklyn, NY 11201

Reassigned Medicare billing, New York enrollment
347 clinicians in this Medicare group

NPI 1295262921 (212) 633-0815

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ellenville Regional Hospital

Critical Access Hospitals · Ellenville, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331310

Location10 Healthy WayEllenville, NY 12428 · Ulster County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37921 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers21 claims56 services$5.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KIMBERLY EVANS

Licensed Practical Nurse