Active NPI
George Livingston, PH.D.
- Psychologist
- Nashville, TN
National Provider Identifier
1821143116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P1148
- Practice address
- 810 Dominican Dr
Suite 211
Nashville, TN 37228-1906 - Phone
- (615) 320-0321
- Fax
- (615) 444-3157
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | P1148 | TN | Primary |
Addresses
Primary practice location
810 Dominican Dr
Suite 211
Nashville, TN 37228-1906
Mailing address
810 Dominican Dr
Suite 211
Nashville, TN 37228-1906
Phone (615) 320-0321
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050628000132 | TN | Practitioner - Clinical Psychologist | 9133164353 | Practice locations: Lebanon, TN; Nashville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of South Carolina School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
810 Dominican Dr
Suite 211
Nashville, TN 37228-1906
Phone (615) 320-0321
932 E Baddour Pkwy
Lebanon, TN 37087-3707
Phone (615) 449-5170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1148 | TN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1821143116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 DOMINICAN DR",
"address_2": "SUITE 211",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281906",
"telephone_number": "615-320-0321",
"fax_number": "615-444-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 DOMINICAN DR",
"address_2": "SUITE 211",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281906",
"telephone_number": "615-320-0321",
"fax_number": "615-444-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "GEORGE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P1148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.