Samuel Davenport, CRNA
NPI 1083616056 · Certified Registered Nurse Anesthetist · Johnson City, TN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Davenport, CRNA is a Certified Registered Nurse Anesthetist provider in Johnson City, TN (NPI 1083616056).
Provider details
- NPI number
- 1083616056
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RN0000104846 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 300 Med Tech PkwyJohnson City, TN 37604-2277Phone: (423) 302-1000
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2019-04-24
Frequently asked questions
- What is Samuel Davenport's NPI number?
- Samuel Davenport's National Provider Identifier (NPI) is 1083616056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Davenport's specialty?
- Samuel Davenport is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samuel Davenport located?
- Samuel Davenport's practice location on file with NPPES is 400 N State of Franklin Rd, Johnson City, TN 37604-6035.
- What is Samuel Davenport's phone number?
- The practice phone number listed in the NPPES registry for Samuel Davenport is (423) 431-6111.
- Does Samuel Davenport accept Medicare?
- Samuel Davenport is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Davenport's NPI active?
- Yes — Samuel Davenport's NPI (1083616056) is active in the NPPES registry as of the last update on 2019-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.