AMG - SOUTHERN TENNESSEE, LLC (NPI# 1003252040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003252040 |
| Entity Type | Organization |
| Organization Name | AMG - SOUTHERN TENNESSEE, LLC |
| Other Organization Name | SOUTHERN TENNESSEE PRIMARY CARE - WALKER FAMILY MEDICINE |
| Practice Address |
183 Hospital Rd Suite D Winchester TN 37398-2470 |
| Practice Telephone | 9319678222 |
| Practice Fax Number | 9319678226 |
| Mailing Telephone | 9319678222 |
| Mailing Fax Number | 9319678226 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | DANIEL SYKES (VICE PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Primary Care - Walker Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942744339 | Amg - Southern Tennessee, LLC | Nurse Practitioner | 108 W Blackwell St, Tullahoma, TN 37388-3505 | 2016-12-05 |
| 1922388297 | Amg - Southern Tennessee, LLC | Clinic/Center | 21 1st Street, Monteagle, TN 37356 | 2011-08-18 |
| 1316480213 | Amg - Southern Tennessee, LLC | Nurse Practitioner | 100 Hunters Ln, Suite 100, Tullahoma, TN 37388-8263 | 2016-11-24 |
| 1972055127 | Amg - Southern Tennessee, LLC | Physical Medicine & Rehabilitation | 183 Hospital Rd, Suite B, Winchester, TN 37398-2470 | 2016-11-03 |
| 1851745434 | Amg - Southern Tennessee, LLC | Psychiatry & Neurology | 2230 Cowan Hwy, Winchester, TN 37398-2627 | 2016-04-20 |
| 1952786675 | Amg - Southern Tennessee, LLC | Internal Medicine | 81 Memorial Dr, Winchester, TN 37398-2401 | 2015-07-23 |
| 1770968489 | Amg - Southern Tennessee, LLC | Urology | 155 Hospital Rd, Suite H, Winchester, TN 37398-2494 | 2015-07-23 |
| 1780075333 | Amg - Southern Tennessee, LLC | Family Medicine | 300 S Main St, Estill Springs, TN 37330-4042 | 2015-02-17 |
| 1891103438 | Amg - Southern Tennessee, LLC | Internal Medicine | 155 Hospital Rd, Suite H, Winchester, TN 37398-2494 | 2014-07-28 |
| 1922436195 | Amg - Southern Tennessee, LLC | Psychiatry & Neurology | 66 Sunrise Park, Winchester, TN 37398-2345 | 2013-10-24 |
| Street Address |
183 HOSPITAL RD SUITE D |
| City | WINCHESTER |
| State | TN |
| Zip Code | 37398-2470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362681 | William Marlin Hicks | Optometrist | 183 Hospital Rd, Suite H, Winchester, TN 37398-2470 | 2005-08-10 |
| 1972055127 | Amg - Southern Tennessee, LLC | Physical Medicine & Rehabilitation | 183 Hospital Rd, Suite B, Winchester, TN 37398-2470 | 2016-11-03 |
| 1861838476 | Amg - Southern Tennessee, LLC | Orthopaedic Surgery | 183 Hospital Rd, Suite B, Winchester, TN 37398-2470 | 2013-05-22 |
| 1467769331 | Amg-southern Tennessee, LLC | Orthopaedic Surgery | 183 Hospital Rd, Suite B, Winchester, TN 37398-2470 | 2010-09-13 |
| 1629246996 | Richard A Bagby Jr Md PC | Orthopaedic Surgery | 183 Hospital Rd, Suite G, Winchester, TN 37398-2471 | 2008-02-20 |
| 1376736264 | Katy Leigh Woodall | Optometrist | 183 Hospital Rd, Suite H, Winchester, TN 37398-2470 | 2007-08-23 |
| 1265632301 | Winchester Eye Clinic P.C. | Optometrist | 183 Hospital Rd, Suite H, Winchester, TN 37398-6207 | 2007-07-18 |
| 1871708966 | Cumberland Healthcare Group Pllc | Orthopaedic Surgery | 183 Hospital Rd, Suite #b, Winchester, TN 37398-2470 | 2007-05-11 |
| 1316060544 | Philip Anthony Hill | Specialist/Technologist | 183 Hospital Rd, Suite B, Winchester, TN 37398-2470 | 2007-04-10 |
| 1730209024 | Winchester Optical | Durable Medical Equipment & Medical Supplies | 183 Hospital Rd, Winchester, TN 37398-2470 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738170 | Results-ast Jv, LLC | Physical Therapist | 2030 Cowan Highway, Suite 1, Winchester, TN 37398 | 2020-10-21 |
| 1902239759 | Ann C Richardson | Pharmacist | 1201 Dinah Shore Blvd, Winchester, TN 37398 | 2013-08-15 |
| 1851734230 | Gina Renee Jacobs | Ambulance | 305 N College St., Winchester, TN 37398 | 2013-04-16 |
| 1083895205 | Jill Kay Stokes | Occupational Therapy Assistant | 463 Dripping Springs Road, Winchester, TN 37398 | 2007-11-15 |
| 1962581702 | Carol H Wallace | Pharmacy | 1201 Dinah Shore Boulevard, Winchester, TN 37398 | 2006-11-03 |
| 1457459562 | Karen A Tidmore | Family Medicine | 1811 Sharp Springs Rd, Winchester, TN 37398 | 2006-09-20 |
| 1356385967 | Sherry Lee | Nurse Practitioner | 1211 Dinah Shore Blvd, Winchester, TN 37398 | 2006-06-15 |
| 1912985425 | Caresouth Hha Holdings of Winchester LLC | Durable Medical Equipment & Medical Supplies | 2068 Cowan Hwy, Winchester, TN 37398 | 2006-01-04 |
| 1215372768 | Clive Anderson Wasson | Surgery | 83 Memorial Dr, Winchester, TN 37398 | 2013-05-09 |
| 1326322967 | John Anthony O'driscoll Jr. | Physical Therapist | 2030 Cowan Hwy Ste 1, Winchester, TN 37398 | 2011-09-30 |
| Find all providers in zip 37398 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190441 | Antoaneta Angelova Fitzpatrick | Family Medicine | 607 Pritchards Hill Ct, Winchester, VA 22601-2653 | 2020-06-28 |
| 1851877310 | Acare Medical Center,llc | Family Medicine | 125 Prosperity Dr Ste 800, Winchester, VA 22602-5362 | 2018-07-17 |
| 1639679913 | Fast Pace Medical Clinic Pllc | Family Medicine | 2401 Decherd Blvd, Winchester, TN 37398-1164 | 2018-02-13 |
| 1255842506 | Valley Physician Enterprise, Inc | Family Medicine | 160 Merchant Street, Ste 100, Winchester, VA 22603 | 2017-10-13 |
| 1255851531 | Boden Health System LLC | Family Medicine | 125 Prosperity Dr Ste 500, Winchester, VA 22602-5361 | 2017-06-27 |
| 1952750242 | Morgan Santhamoorthy | Family Medicine | 203 Cambridge St, Winchester, MA 01890-2338 | 2016-06-07 |
| 1285048751 | Akolea K Ioane | Family Medicine | 1870 Amherst St Ste 2g, Winchester, VA 22601-2841 | 2014-06-12 |
| 1902192941 | Bryan D Grooms | Family Medicine | Po Box 155, Winchester, OH 45697-0155 | 2011-06-28 |
| 1891098620 | The Family Doctor's Office Plc | Family Medicine | 440 W Jubal Early Dr Ste 120, Winchester, VA 22601-6319 | 2010-12-16 |
| 1003040072 | Kentucky Bariatric, Inc | Family Medicine | 4925 Rockwell Road, Winchester, KY 40391-1928 | 2009-05-06 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 37398 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.