Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caroline Whaley Davidenko, FNP

Individual provider Family Nurse Practitioner · NPI 1699574137

Caroline Whaley Davidenko, FNP is a Nurse Practitioner in Memphis, Tennessee. Graduated from University of South Alabama College of Medicine in 2024, 2 years ago. Practices with Primary Care Group, LLC, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
2
Trained at
University of South Alabama College of Medicine
Licensed in
TN
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3789 Covington Pike
Memphis, TN 38135-2279
Phone: (901) 372-3200
Fax: (901) 388-9501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 38349 (TN)

Record details

NPI number1699574137
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 10, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Primary Care Group, Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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