Douglas E Lillifield, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

174 Issued in TN

Practice address

431 Park Village Dr Ste 103
Knoxville, TN 37923

Phone

(865) 247-5590

Fax

(865) 312-9150

NPI assigned

May 19, 2009

Last updated

Nov 16, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglaslillifield@direct.meditouchehr.com

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.

• Appa LLC

  dba LivWell Solutions

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1629581574
  Authorized official Same address or phone
• Neighborhood Medical LLC

  dba Neighborhood Primary Care

  • Primary Care Clinic/Center
  • Jacksboro, TN
  • NPI 1780008656
  NPD
• Carole L Long MD PC

  • Internal Medicine Physician
  • Maryville, TN
  • NPI 1760528111
  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1225263353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 PARK VILLAGE DR SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-247-5590",
            "fax_number": "865-312-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PARK VILLAGE DR STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-247-5590",
            "fax_number": "865-312-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIFIELD",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "4594",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubriana Tiye Ligon
• Jamie C Ligon, DPT
• Tasha Ligon
• Courtney W Liles, MS, RDN, LDN
• Joy A Lillard
• Sofia Abigail Lillo
• Kristen Michelle Lilly, MD
• Jae Lim
• Kalena Michelle Lima, RN
• Erika Limprevil, RBT

• Medical Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.