MEDICARE: SHRINKTY MEDICAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	207QA0401X	Addiction Medicine (Family Medicine) Physician
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	2084P0800X	Psychiatry Physician
6	2084B0040X	Behavioral Neurology & Neuropsychiatry Physician
7	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1568190890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHRINKTY MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	1222 BATBRIAR RD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-2982
Country	:	US
Telephone Number	:	615-716-8255
Fax Number	:	615-893-9969

Provider Business Practice Location Address
First Line	:	2462 OLD FORT PKWY
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-4163
Country	:	US
Telephone Number	:	931-808-7504
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSHUA DAVENPORT
Credential	:	PA-C
Telephone Number	:	615-716-8255

Provider Enumeration Date	:	08/14/2022
Last Update Date	:	10/21/2025

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