Healthcare Provider Details

I. General information

NPI: 1669965133
Provider Name (Legal Business Name): JAMES EVAN DAVIDSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 ALCOA HWY BLDG F
KNOXVILLE TN
37920-1545
US

IV. Provider business mailing address

1926 ALCOA HWY BLDG F
KNOXVILLE TN
37920-1545
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-8780
  • Fax: 865-305-8199
Mailing address:
  • Phone: 865-305-8780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number009952
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number88373
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number66675
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: