Organization Active NPI

Live Oak Psychiatric Associates, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Englewood, TN
National Provider Identifier
1184544017
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LIVE OAK PSYCHIATRIC ASSOCIATES, PLLC
Practice address
610 County Rd 415
Englewood, TN 37329
Phone
(251) 284-2010
NPI assigned
Jul 20, 2026
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Harley Gibbs, PMHNP
Title
Owner
Phone
(251) 284-2010

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

NPPES NPI Registry

Primary practice location

610 County Rd 415
Englewood, TN 37329

Mailing address

1306 Decatur Pike # 1008
Athens, TN 37303-2418
Phone (251) 284-2010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2026.

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1184544017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 DECATUR PIKE # 1008",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032418",
            "telephone_number": "251-284-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COUNTY RD 415",
            "city": "ENGLEWOOD",
            "state": "TN",
            "postal_code": "37329",
            "telephone_number": "251-284-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK PSYCHIATRIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "HARLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-284-2010",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.