Healthcare Provider Details

I. General information

NPI: 1598185092
Provider Name (Legal Business Name): AUSTIN DAVIDSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 FORT SANDERS WEST BLVD
KNOXVILLE TN
37922-3355
US

IV. Provider business mailing address

8320 E WALKER SPRINGS LN STE 200
KNOXVILLE TN
37923-3120
US

V. Phone/Fax

Practice location:
  • Phone: 865-558-4400
  • Fax: 865-558-4421
Mailing address:
  • Phone: 865-769-4500
  • Fax: 865-769-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number60838
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number277969
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: