Active NPI
Courtney Ellen Halista, M.D.
- Family Medicine Physician
- Powell, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 64835
- Practice address
- 4565 Market Bell Way
Powell, TN 37849 - Phone
- (865) 374-3450
- Fax
- (865) 374-1146
- NPI assigned
- May 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29530 | NE | |
| Family Medicine Physician | 207Q00000X | 64835 | TN | Primary |
Addresses
Primary practice location
4565 Market Bell Way
Powell, TN 37849
Mailing address
4565 Market Bell Way
Powell, TN 37849
Phone (865) 374-3450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q076530 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | halista.courtney.ellen@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4565 Market Bell Way
Powell, TN 37849-2004
Phone (865) 374-3450
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.41 of 100
- Quality
- 77.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of TN, LLC | Single Specialty | Current | Accepting new patients |
| Covenant Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253
2300 Patterson St
#M
Nashville, TN 37203
Interoperability endpoints
- courtney.halista@hca1.eclinicaldirectplus.com
- halista.courtney.ellen@covenanthealth.cernerdirect.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
Single Specialty
-
- Hospitalist Physician
- Nashville, TN
- NPI 1982301065
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1417337965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4565 MARKET BELL WAY",
"city": "POWELL",
"state": "TN",
"postal_code": "37849",
"telephone_number": "865-374-3450",
"fax_number": "865-374-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 MARKET BELL WAY",
"city": "POWELL",
"state": "TN",
"postal_code": "37849",
"telephone_number": "865-374-3450",
"fax_number": "865-374-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALISTA",
"first_name": "COURTNEY",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-30",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NE",
"license": "29530",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "64835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q076530",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "halista.courtney.ellen@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "4565 Market Bell Way",
"city": "Powell",
"state": "TN",
"country_code": "US",
"postal_code": "37849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.