DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. COURTNEY ELLEN HALISTA, M.D.

Active Sole Proprietor

DR. COURTNEY ELLEN HALISTA, M.D. is a Family Medicine healthcare provider located in POWELL, Tennessee. NPI 1417337965 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · POWELL, TN

Registration Details

NPI Number
1417337965
Provider Type
Individual
Gender
Female
NPI Issued
May 30, 2015 (11.027061168343 yrs)
Last Updated
Aug 7, 2025
Licenses
29530 (NE)
64835 (TN)
Sole Proprietor
Yes

Practice Information

Address
4565 MARKET BELL WAY
POWELL, TN, 37849
Browse TN providers · Browse ZIP 37849
Phone
8653743450
Fax
8653741146
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in POWELL, TN

Name Credential NPI
MARK W JOHNSON MD 1679571715
ANDREW R. BEJARANO DO 1346207164
NICHOLAS P THORNTON IV MD 1831130731
KATHY N CHISM MD 1710929484
BRAD A FLAMING MD 1265474936
RONALD P BARTON MD 1083658405
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.