MR. NATHAN MICHAEL DAVIS (RN) – Certified Registered Nurse Anesthetist, NPI 1730375643
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. NATHAN MICHAEL DAVIS (RN)
West Ravine Road, Nelsontown, Kingsport, Sullivan County, Tennessee, 37660, United States
SUITE 5B
KINGSPORT, TN 376603847
Phone: (423) 224-3460
Type: Location
2140, Memorial Court, Highland Park, Kingsport, Sullivan County, Tennessee, 37664, United States
KINGSPORT, TN 37664
Phone: (865) 591-1362
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $162.
Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.
Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($91).
Total Amount
$162
General + Research + Ownership
Payments
5
Total payment records
General Amount
$162
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $91 |
| ABBVIE INC. | $71 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (954 days ago).
Enrollment records
1
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071022000873 | I | Certified Registered Nurse Anesthetist (Crna) | TN | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 66 | 66 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 55 | 55 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 26 | 25 | $0 |
Insurance plans in this area (ZIP 37660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Nurse Practitioner | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Nurse Practitioner | TN | |
| Gastroenterology, Internal Medicine | TN |
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