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

Elizabeth Ashley Brockman, PAC

Individual provider Physician Assistant · NPI 1073847000

Elizabeth Ashley Brockman, PAC is a Physician Assistant in Cookeville, Tennessee. Qualified in 2009, 17 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
17
Licensed in
FL, TN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

768 S Willow Ave Ste A
Cookeville, TN 38501-3892
Phone: (931) 559-6900
Fax: (931) 548-6909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3593 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA9105186 (FL)

Record details

NPI number1073847000
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedSeptember 23, 2009
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Covenant Medical Group Inc — 356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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