Brecken Elizabeth Overly, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7061 Issued in TN

Practice address

40 W Caldwell St Ste 100
Mt Juliet, TN 37122-3180

Phone

(615) 773-2712

Fax

(615) 773-2712

NPI assigned

May 18, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Katherine W. Jones MD PLC

  • Family Medicine Physician
  • Mt Juliet, TN
  • NPI 1629448402

  Family Medicine

  NPD
• Katherine W. Jones, MD, PLC

  • Family Medicine Physician
  • Mount Juliet, TN
  • NPI 1972608149

  Family Medicine

  NPD

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1992634679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3669 HOGGETT FORD RD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763512",
            "telephone_number": "615-773-2712",
            "fax_number": "615-773-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST STE 100",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223180",
            "telephone_number": "615-773-2712",
            "fax_number": "615-773-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLY",
        "first_name": "BRECKEN",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "7061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika May Lazo Ortiz, FNP-BC
• Heather Osborne, SA-C
• Tanasi Michelle Otero, M.A., CCC, SLP
• Kelsey Otten, DPT
• Brian Overbeck, PT
• Candice Luther Owens, RBT
• Rachel Owens, IBCLC
• P-72
• Joaquin Paez
• Elizabeth Page

• All providers in Mt Juliet, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.

Verify at the official NPI Registry.