MICHAEL JAMES DAVIDSON D.O.
NPI 1740240902
Family Medicine in Lewisburg, TN

Active since March 23, 2006PECOS Enrolled
1090 N ELLINGTON PKWY, SUITE 102, LEWISBURG, TN 37091(913) 359-0019(931) 359-7381 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael James Davidson D.o. NPPES

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

MICHAEL JAMES DAVIDSON D.O. (NPI 1740240902) is an individual family medicine provider in Lewisburg, Tennessee, licensed in Tennessee (DO781) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740240902
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL JAMES DAVIDSONCredential: D.O.
Location Address1090 N ELLINGTON PKWY, SUITE 102Lewisburg, TN 37091-2227
Mailing Address854 W James Campbell Blvd, Suite 303Columbia, TN 38401-4659 · (931) 359-0019 · Fax (931) 359-7381
Fax(931) 359-7381
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateNovember 14, 2012
NPI 1740240902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · DO781
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.
1090 N ELLINGTON PKWY, Lewisburg, TN 37091

Other Identifiers 6

Medicare ID-Type Unspecified3302360TN · Medicare Number
Medicaid3710089TN
Other3130078TN · Blue Cross Number
Medicare UPINE05414TN
Medicaid3302360TN
Medicare PIN3710089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael James Davidson D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37091 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 15

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

Internal Medicine
1090 N ELLINGTON PKWY, SUITE 102
LEWISBURG, TN 37091
Obstetrics & Gynecology
1090 N ELLINGTON PKWY, SUITE 101
LEWISBURG, TN 37091
Nurse Practitioner (Family)
1090 N ELLINGTON PKWY
LEWISBURG, TN 37091
Psychiatry & Neurology (Psychiatry)
1090 N ELLINGTON PKWY
LEWISBURG, TN 37091
Family Medicine
1090 N ELLINGTON PKWY, SUITE 102
LEWISBURG, TN 37091
Clinic/Center (Federally Qualified Health Center (FQHC))
1090 N ELLINGTON PKWY, SUITE 102
LEWISBURG, TN 37091
Clinic/Center (Federally Qualified Health Center (FQHC))
1090 N ELLINGTON PKWY, SUITE 201
LEWISBURG, TN 37091
Physical Therapist
1090 N ELLINGTON PKWY
LEWISBURG, TN 37091

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 Michael Davidson's NPI number?

The NPI number for Michael Davidson is 1740240902. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Michael Davidson located?

Michael Davidson practices at 1090 N Ellington Pkwy Suite 102, Lewisburg, TN 37091. The listed phone number is (913) 359-0019.

What is Michael Davidson's specialty?

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

Is Michael Davidson enrolled in Medicare?

Yes. Michael Davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Davidson was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.