Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Courtney Ellen Halista, MD

Individual provider Family Medicine Physician · NPI 1417337965

Dr. Courtney Ellen Halista, MD is a Family Practice in Powell, Tennessee. Graduated from Tufts University School of Medicine in 2015, 11 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group and accepts Medicare assignment. Licensed in Nebraska and Tennessee.

Years since qualifying
11
Trained at
Tufts University School of Medicine
Licensed in
NE, TN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4565 Market Bell Way
Powell, TN 37849
Phone: (865) 374-3450
Fax: (865) 374-1146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 64835 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 29530 (NE)

Record details

NPI number1417337965
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2015
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Covenant Medical Group Inc — 356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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