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JACKIE ALLEN LIVESAY JR. MD
NPI 1811944002
Emergency Medicine in Morristown, TN

Active since May 31, 2006PECOS Enrolled
908 W 4TH NORTH ST, MORRISTOWN, TN 37814(423) 492-5400(865) 291-3228 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Allen Livesay Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE ALLEN LIVESAY JR. MD (NPI 1811944002) is an individual emergency medicine provider in Morristown, Tennessee, licensed in Tennessee (30899) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811944002
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACKIE ALLEN LIVESAY JR.Credential: MD
Location Address908 W 4TH NORTH STMorristown, TN 37814-3894
Mailing Address1032 Ashley CtMorristown, TN 37814-1699
Phone(423) 492-5400
Fax(865) 291-3228
Sole ProprietorYes
Enumeration DateMay 31, 2006
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1811944002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 30899
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
908 W 4TH NORTH ST, Morristown, TN 37814
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Other Identifiers 3

Medicare ID-Type Unspecified3842851TN
Medicaid3842851TN
Medicare UPING97785TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Allen Livesay Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
272 services247 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
58 services57 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAY MANSUROV M.D.
Internal Medicine (Hematology & Oncology)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 492-6100
MARK J HARRELL MD
Emergency Medicine
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 492-5400
EAST TN PHARMACIST CONSULTANTS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 618-8805
KELSEY BICKEL PHARMD
Pharmacist
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (937) 395-4681
KIMBERLY MICHELLE ARROWOOD ANP-BC, GNP-BC
Nurse Practitioner (Adult Health)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 492-6100
PATRICIA A HEWITT TAMBEAU RN
Registered Nurse
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 926-1171
EAST TENNESSEE PATHOLOGY, PLLC
Clinical Medical Laboratory
908 W 4TH NORTH ST, MORRISTOWN-HAMBLEN HOSPITAL
MORRISTOWN, TN 37814
Hamblen County (423) 586-4231
KARIE HALL PA-C
Physician Assistant
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 492-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Livesay's NPI number?

The NPI number for Jackie Livesay is 1811944002. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jackie Livesay located?

Jackie Livesay practices at 908 W 4th North St, Morristown, TN 37814. The listed phone number is (423) 492-5400.

What is Jackie Livesay's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jackie Livesay enrolled in Medicare?

Yes. Jackie Livesay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Livesay was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.