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

Timothy C Davenport, MD

Individual provider Urology Physician · NPI 1760653505

Timothy C Davenport, MD is an Urology in Jackson, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2004, 22 years ago. Practices with Jackson Clinic PA, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
22
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

145 Innovation Dr Ste 300
Jackson, TN 38305-3019
Phone: (731) 422-0213
Fax: (731) 422-0402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 45054 (TN)

Record details

NPI number1760653505
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2008
Last updated in NPPESOctober 25, 2023

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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