Doctor profile · Federal record
Dr. Samuel Davenport, CRNA
Certified Registered Nurse Anesthetist · Johnson City, TN
- NPI 1083616056
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
400 N State of Franklin RD
Johnson City, TN 376046035
(423) 431-6111 - Additional location
-
300 MED Tech Pkwy
Johnson City, TN 376042277
(423) 302-1000 - Mailing address
-
1009 Lark St Ste 2
Johnson City, TN 376048218
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- April 24, 2019
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Tennessee #RN0000104846
- Medicaid
- TN #3631202
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083616056. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12
Distinct HCPCS
1
Medicare allowed
$901
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
01400 |
Anesthesia for other procedure or exam of knee joint using an endoscope | 12 | 12 | $75 |
In context: peer comparison
Among 17 peers in Johnson City Certified Registered Nurse Anesthetist, average services per provider: 33. This provider delivers 0.4× the peer median.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $21.60 |
By nature of payment
Frequently asked questions
What is Dr. Samuel Davenport's medical specialty?
Dr. Samuel Davenport practices Certified Registered Nurse Anesthetist in Johnson City, TN.
Where does Dr. Samuel Davenport practice?
Dr. Samuel Davenport practices at 400 N State of Franklin RD, Johnson City, TN 376046035. Office phone: 4234316111.
What is Dr. Samuel Davenport's NPI?
Dr. Samuel Davenport's National Provider Identifier (NPI) is 1083616056, issued by NPPES.
What procedures does Dr. Samuel Davenport commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure or exam of knee joint using an endoscope (HCPCS 01400). Source: CMS Medicare Physician & Other Practitioners file.