Individual provider

Timothy Vivian, PA

Medical Physician Assistant Medicare enrolled

Timothy Vivian, PA is a Medical Physician Assistant in Cookeville, TN, registered under NPI 1679568968. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 675 SOUTH JEFFERSON AVE, Cookeville, TN 38501. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

675 SOUTH JEFFERSON AVE, Cookeville, TN 38501 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
P0770 TN Medical Physician Assistant primary

This provider holds licence P0770 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
9638146418

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1679568968 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 13, 2005
Last updatedJun 20, 2012
StatusActive
Sole proprietorYes
CredentialPA
Practice address 675 SOUTH JEFFERSON AVE
Cookeville, TN 38501
(931) 520-0148
Fax (931) 520-0152
This record was last updated on Jun 20, 2012, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1679568968 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 7 9 5 6 8 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 1 6 7 9 3

Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1679568968?
NPI 1679568968 is the National Provider Identifier assigned to Timothy Vivian, PA in Cookeville, TN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Timothy Vivian, PA?
The phone number on file with NPPES is (931) 520-0148, last updated Jun 20, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Timothy Vivian, PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679568968 a valid number?
Yes. 1679568968 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.