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Justin Davis, PMHNP

NPI 1417768169ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Cookeville, TN

Nurse Practitioner, Psych/Mental Health (PMHNP) with Cedar Recovery Center of Middle Tennessee, LLC, practicing in Cookeville, Tennessee. Enrolled in Medicare as practitioner - nurse practitioner. Braeburn Inc. was the largest of 3 companies reporting payments in 2025, $67.95 in all, mostly food and beverage.

Overview

NPI1417768169
StatusActive
Entity typeIndividual
CredentialPMHNP
Sole proprietorNo
NPI issuedJan 14, 2025
Last updated in NPPESJul 10, 2025
Certified by providerJul 10, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X38299TN
Registered Nurse163W00000X0000235209TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (TN)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$67.95 · 4 payments from 3 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$67.95 · 4 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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