Healthcare Provider Details

I. General information

NPI: 1932541505
Provider Name (Legal Business Name): TRACY TAYLOR DAVIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4323 CAROTHERS PKWY STE 301
FRANKLIN TN
37067-5917
US

IV. Provider business mailing address

4323 CAROTHERS PKWY STE 301
FRANKLIN TN
37067-5917
US

V. Phone/Fax

Practice location:
  • Phone: 615-565-6670
  • Fax:
Mailing address:
  • Phone: 615-565-6670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9107336
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3924
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: