Skip to content

Brecken Elizabeth Overly, PA

NPI 1992634679ActiveIndividual· Family Medicine· Mt Juliet, TN

Family Medicine (PA) in Mt Juliet, Tennessee, licensed in TN, with an NPI issued in May 2026. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1992634679
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certified by providerMay 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X7061TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (TN)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysician Assistant

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine providers in Mt Juliet

All Family Medicine providers in Tennessee →