Individual provider Active NPI

Mark D Nowell, MD

  • Surgery Physician
  • Livingston, TN
National Provider Identifier
1295765964
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD36071 Issued in TN
Practice address
310 Oak St
Livingston, TN 38570-1729
Phone
(931) 403-5180
Fax
(931) 403-5182
NPI assigned
Jul 5, 2006
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 42186 KY
Internal Medicine Physician 207R00000X 42186 KY
Surgery Physician 208600000X MD36071 TN Primary
Trauma Surgery Physician 2086S0127X MD36071 TN
Vascular Surgery Physician 2086S0129X MD36071 TN
Hospitalist Physician 208M00000X 42186 KY

Addresses

Primary practice location

310 Oak St
Livingston, TN 38570-1729

Mailing address

PO Box 9
Livingston, TN 38570-0009
Phone (931) 403-5180

Other identifiers 1

IdentifierTypeStateIssuer
3874926MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050613000136 TN Practitioner - Emergency Medicine 6608818794 Reassigns benefits to 1 organization
Practice locations: Livingston, TN
I20081211000135 KY Practitioner - Emergency Medicine 6608818794 Reassigns benefits to 5 organizations
I20161024001701 AL Practitioner - Emergency Medicine 6608818794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Medical Foundation, Inc.Group PAC ID 5092702472, 30 clinicians

Practice addresses (Care Compare)

477 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone (270) 487-9231

529 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone 27048792311199

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36071TNMDPharmacist
MD36071TNMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Monroe Medical Foundation, Inc. Emergency Medicine CurrentSince Mar 22, 2012 Accepting new patients
Monroe Medical Foundation, Inc. Emergency Medicine Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
NWMC Winfield Physicians LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Copeland Medical Services Internal Medicine Current Accepting new patients
Monroe Medical Foundation Inc CurrentSince Mar 22, 2012 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC Hospitalist CurrentSince Sep 1, 2019 Accepting new patients
Lakeland Physicians LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Wayne County Hospital, Inc Emergency Medicine CurrentSince Jun 11, 2022 Accepting new patients
Wayne County Hospital, Inc Internal Medicine CurrentSince Jun 11, 2022 Accepting new patients
Mark D Nowell Surgery PastSince Jan 1, 1990 Accepting new patients
NWMC Winfield Physician Practices LLC Past Accepting new patients
Surgical Associates of Kingsport, Inc Surgery PastSince Mar 22, 1996 Accepting new patients
Lakeland Physician Practices LLC Past Accepting new patients

Locations

22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113

125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251

1501 S Dixie St
Park, KY 42749
Phone (270) 786-2191

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

100 Old Jefferson St
Celina, TN 38551
Phone (931) 243-3581

110 Doctors Dr
Celina, TN 38551
Phone (931) 243-3860

100 Greenway Cir
Erwin, TN 37650
Phone (423) 743-1271

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1295765964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385700009",
            "telephone_number": "931-403-5180",
            "fax_number": "931-403-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 OAK ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701729",
            "telephone_number": "931-403-5180",
            "fax_number": "931-403-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWELL",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "42186",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "42186",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD36071",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TN",
            "license": "MD36071",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD36071",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "42186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3874926",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TN

Sources for this page

Verify at the official NPI Registry.