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

Eric Lisic, DO

Individual provider Family Medicine Physician · NPI 1356632152

Eric Lisic, DO is a Family Practice in Cookeville, Tennessee. Qualified in 2011, 15 years ago. Practices with Summit Medical Group, PLLC, a 636-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
15
Licensed in
TN
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

128 N Whitney Ave
Cookeville, TN 38501-2493
Phone: (931) 783-5848
Fax: (931) 528-1266
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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 2669 (TN)

Record details

NPI number1356632152
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 27, 2011
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022
Mailing address140 W 7th St, Cookeville, TN 38501-1726

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Summit Medical Group, Pllc — 636 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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