Elizabeth Ashley Brockman, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3593 Issued in TN

Practice address

768 S Willow Ave Ste a
Cookeville, TN 38501-3892

Phone

(931) 559-6900

Fax

(931) 548-6909

NPI assigned

Sep 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Tennessee Primary Care, LLCGroup PAC ID 3870939051, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Nashville South Home health agency, Cookeville, TN, CCN 447425
• Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.brockman.1@30744.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CGDBED/Endpoint/CGDBED

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

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Tennessee Primary Care, LLC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1760251946
  Medicare reassignment Care Compare group
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD
• Tennessee Primary Care, LLC

  • Rural Health Clinic/Center
  • Cookeville, TN
  • NPI 1669367322
  NPD
• Emergency Physicians of Naples PLLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1861410656
  NPD (past)
• Epn Urgent Care LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1275624579
  NPD (past)
• Thse - Marco Urgent Care LLC

  • Internal Medicine Physician
  • Marco Island, FL
  • NPI 1801125331

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Abilishealth Nashville, LLC

  • Home Health Agency
  • Brentwood, TN
  • NPI 1346720398
  Care Compare affiliation
• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• Cumberland Medical Center, Inc.

  • General Acute Care Hospital
  • Crossville, TN
  • NPI 1871596403
  Care Compare affiliation

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1073847000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 S WILLOW AVE STE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013892",
            "telephone_number": "931-559-6900",
            "fax_number": "931-548-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 S WILLOW AVE STE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013892",
            "telephone_number": "931-559-6900",
            "fax_number": "931-548-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105186",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044474",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@ecotn.com",
            "affiliation": "N",
            "address_1": "768 S Willow Ave Ste A",
            "city": "Cookeville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385013892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sonya Annette Briggs, PT
• Sheri L Brimm
• Madison Cecile Brock, PA
• Mallory Brock
• Kimberly Sue Brockett
• Mackenzie Bronson
• Aaron Brooksbank
• Heather Kay Brown-Conner, OD
• Abigail E Brown, MAT, ATC
• Charity Brown

• Physician Assistant in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.