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

Justin Davis, PMHNP

Individual provider Registered Nurse · NPI 1417768169

Justin Davis, PMHNP is a Nurse Practitioner in Cookeville, Tennessee. Qualified in 2024, 2 years ago. Practices with Cedar Recovery Center of Middle Tennessee, LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2025
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1225 S Willow Ave Ste 102
Cookeville, TN 38506-4102
Phone: (931) 284-4814
Fax: (615) 549-7044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 38299 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 0000235209 (TN)

Record details

NPI number1417768169
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cedar Recovery Center Of Middle Tennessee, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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