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

Mr. Timothy E Vivian, PA

Individual provider Medical Physician Assistant · NPI 1679568968

Mr. Timothy E Vivian, PA is a Medical Physician Assistant in Cookeville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

675 S Jefferson Ave
Cookeville, TN 38501-0949
Phone: (931) 520-0148
Fax: (931) 520-0152
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence P0770 (TN)

Record details

NPI number1679568968
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 13, 2005
Last updated in NPPESJune 20, 2012
Mailing address675 South Jefferson Ave, Cookeville, TN 38501-0949

Other providers in Cookeville