Livesay Family Medicine, Pc

LBN: Livesay Family Medicine, Pc
Livesay Family Medicine, Pc is an health care organization with primary practice located at 200 Nettleton Rd Ste 1 , Harrogate TN 37752-8225. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Livesay Family Medicine, Pc can be contacted via phone (423) 419-5550, or through Livesay, Tom D. via phone (423) 419-5550.

Contact Information

Primary practice address
200 Nettleton Rd Ste 1 Harrogate TN 37752-8225
Phone: (423) 419-5550
Fax: (423) 419-5551
Website:
Map and Directions
Authorized official contact:
Name: Livesay, Tom D. Doctor of Medicine (MD)
Phone: (423) 419-5550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1932488327
LBN Legal business name Livesay Family Medicine, Pc
DBA Doing business as
Authorized official Livesay, Tom D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2011
Last updated Mar 12th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932488327 NPPES
Virginia Other 1932488327 VA MEDICAID
Virginia MEDICAID 1525171 VA MEDICAID

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