Tommy Dale Livesay, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

47578 Issued in TN

Practice address

200 Nettleton Rd Ste 1
Harrogate, TN 37752-8225

Phone

(423) 419-5550

Fax

(234) 195-5514

NPI assigned

Jun 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

East Tennessee State University Quillen College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Livesay Family Medicine, PC 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Tennessee Home health agency, Tazewell, TN, CCN 447188
• Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21267/brand/1/csg/1/fhir/r4

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.

• Livesay Family Medicine, PC

  • Family Medicine Physician
  • Harrogate, TN
  • NPI 1932488327

  Family Medicine, TN

  Medicare reassignment Care Compare group NPD
• Summit View Health Services, LLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1952557381

  TN

  Medicare reassignment NPD
• Wellmont Medical Associates Inc

  • Pulmonary Disease Physician
  • Kingsport, TN
  • NPI 1780986257

  Family Medicine, TN

  Medicare reassignment NPD
• Velocity Medical LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Castle, KY
  • NPI 1013352269

  TN

  Medicare reassignment NPD
• Wellmont Medical Associates, Inc.

  • Urgent Care Clinic/Center
  • Bristol, TN
  • NPI 1770942575
  NPD
• Wellmont Physician Services Inc

  • Internal Medicine Physician
  • Big Stone Gap, VA
  • NPI 1619095403

  Family Medicine

  NPD (past)

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

• Claiborne Medical Center

  • General Acute Care Hospital
  • Tazewell, TN
  • NPI 1942205166

  Hospital

  Care Compare affiliation
• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Tazewell, TN
  • NPI 1639149586
  Care Compare affiliation

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1154581437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NETTLETON RD STE 1",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528225",
            "telephone_number": "423-419-5550",
            "fax_number": "423-419-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NETTLETON RD STE 1",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528225",
            "telephone_number": "423-419-5550",
            "fax_number": "234-195-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVESAY",
        "first_name": "TOMMY",
        "middle_name": "DALE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101250073",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "44663",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "47578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525167",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100185130",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932488327",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tom.livesay.1@21267.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 Nettleton Rd Ste 1",
            "city": "Harrogate",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377528225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua O Leatherwood, CRNA
• Lindsey Taylor Lewis
• Roger Lewis Jr.
• Yi Ling Liang
• Livesay Family Medicine, PC
• Christopher J Loyke, DO
• Jared Wilson Madden, D.O.
• William Maddox
• Jack Winn Mansfield Sr., ATC
• Cade D Martin, BSN, RN, SRNA

• All providers in Harrogate, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.