Michael Leonard Olivier, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

51982 Issued in TN

Practice address

3790 Cumberland Lakes Dr
Monterey, TN 38574-7155

Phone

(931) 200-4905

NPI assigned

Nov 21, 2006

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  SD, TN

  Medicare reassignment NPD
• Black Hills Health & Education Center

  • Pediatrics Physician
  • Hermosa, SD
  • NPI 1063420354
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1003981408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 CUMBERLAND LAKES DR",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385747155",
            "telephone_number": "605-255-4101",
            "fax_number": "605-255-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 CUMBERLAND LAKES DR",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385747155",
            "telephone_number": "931-200-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "MICHAEL",
        "middle_name": "LEONARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "5809",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "51982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael West (Super Discount Drugs)
• Monterey Dental Center
• Monterey Drugs Inc (Monterey Drugs)
• Monterey Medical LLC
• Lindsey Rose Novak
• Kaylee Gale Phillips
• Putnam County Rural Health Clinic
• Putnam County Rural Health Clinic, Inc (Monterey Rural Health Clinic)
• Manish Rana, D.D.S
• Michael A Rawdon, FNP MSN

• General Practice Physician in Monterey, TN
• Providers in Monterey, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.