Tersa L Lively, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO0000001321 Issued in TN

Practice address

705 Main St Ste 2
Oliver Springs, TN 37840-1761

Phone

(865) 280-1466

Fax

(865) 280-1469

NPI assigned

Apr 25, 2006

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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.

• Pointe Medical PLLC

  • Family Nurse Practitioner
  • Oliver Springs, TN
  • NPI 1366918930
  NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD (past)
• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010
  NPD (past)
• Cumberland Medical Center, Inc

  dba CMC Physician Group

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1053377812

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1265498646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAIN ST STE 2",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378401761",
            "telephone_number": "865-280-1466",
            "fax_number": "865-280-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MAIN ST STE 2",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378401761",
            "telephone_number": "865-280-1466",
            "fax_number": "865-280-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "TERSA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000001321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3306430",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• L & L Community Solutions (Coalfield Medical Clinic)
• Jessica Lea Lawson, FNP
• Leach Pharmacy
• Robert Blake Leach
• Stacia Leffew
• Ashley Lloyd-Hammer
• Mary N. Chase, O.D., PLLC (Fox Chase Optometry)
• Rebecca Miller Morris, PHARM.D.
• Robin Minhinnett, PHARM.D.
• Janie L Morgan, LPN

• Family Medicine Physician in Oliver Springs, TN
• Providers in Oliver Springs, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.