Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rebecca S Lavelle, MD

Individual provider Urology Physician · NPI 1104099662

Dr. Rebecca S Lavelle, MD is an Urology in Maryville, Tennessee. Graduated from Michigan State University College of Human Medicine in 2008, 18 years ago. Practices with Champion Physical Therapy LLC Halls, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
18
Trained at
Michigan State University College of Human Medicine
Licensed in
TN
In the registry since
2008
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

425 Bmh Physicians Ofc Bldg
Maryville, TN 37804
Phone: (865) 980-5260
Fax: (865) 980-5261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD0000053291 (TN)

Record details

NPI number1104099662
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2008
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2008 (18 years in practice)
Group practice Champion Physical Therapy Llc Halls — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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