IndividualActive
Courtney Halista, M.D.
NPI 1417337965 · Family Medicine Physician · Powell, TN
Provider details
- NPI number
- 1417337965
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29530 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4565 Market Bell Way
Powell, TN 37849
Phone: (865) 374-3450
Fax: (865) 374-1146
Approximate (ZIP-level) locationGet directions
Mailing address
4565 Market Bell Way
Powell, TN 37849
Registry dates
- Enumerated
- 2015-05-30
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.