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

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.

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Practice location Address checks out

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

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