AMG-CROCKETT, LLC (NPI# 1043475700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043475700 |
| Entity Type | Organization |
| Organization Name | AMG-CROCKETT, LLC |
| Other Organization Name | ADVANCED NEUROLOGY ASSOCIATES |
| Practice Address |
1605 S Locust Ave Suite 103 Lawrenceburg TN 38464-4053 |
| Mailing Address |
Po Box 248 Lawrenceburg TN 38464-0248 |
| Practice Telephone | 9317626571 |
| Practice Fax Number | 9317623339 |
| Mailing Telephone | 9317626571 |
| Mailing Fax Number | 9317623339 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2012-05-29 |
| Authorized Official Name | MICHAEL CLARK (DIVISION PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
38839 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ADVANCED NEUROLOGY ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1811543929 | Amg-crockett, LLC | Clinic/Center | 722 N Military St, Loretto, TN 38469-2336 | 2019-08-14 |
| 1144593658 | Amg-crockett, LLC | Obstetrics & Gynecology | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1578836011 | Amg-crockett, LLC | Surgery | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1689843153 | Amg-crockett, LLC | Family Medicine | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2008-02-28 |
| 1912125600 | Amg-crockett, LLC | Urology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2007-04-20 |
| Street Address |
1605 S LOCUST AVE SUITE 103 |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-4053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194786129 | Neurology Associates | Psychiatry & Neurology | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 | 2006-03-29 |
| 1902284466 | Mattea Katarena Butler | Specialist/Technologist | 1605 S Locust Ave, Lawrenceburg, TN 38464-4061 | 2015-05-15 |
| 1144593658 | Amg-crockett, LLC | Obstetrics & Gynecology | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1578836011 | Amg-crockett, LLC | Surgery | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1528336286 | Amg Crockett, LLC | Surgery | 1605 S Locust Ave, Lawrenceburg, TN 38464-4061 | 2011-12-09 |
| 1457666372 | Amg Crockett LLC | Orthopaedic Surgery | 1605 S Locust Ave, Suite 101, Lawrenceburg, TN 38464-4061 | 2010-08-16 |
| 1730492737 | Amg Crockett, LLC | Surgery | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4061 | 2010-07-19 |
| 1437477700 | Amanda D Haneline | Obstetrics & Gynecology | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4061 | 2010-05-12 |
| 1467694133 | Penny S. Mediate, M.d., P.C. | Family Medicine | 1605 S Locust Ave, Suite 102, Lawrenceburg, TN 38464-4053 | 2009-03-27 |
| 1568627214 | Angella Marie Bowden | Nurse Practitioner | 1605 S Locust Ave, Ste 200, Lawrenceburg, TN 38464-4061 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
| 1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
| 1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
| 1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
| 1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
| 1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
| 1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
| 1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
| Find all providers in zip 38464 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982743001 | Gregory Anton Kersulis | Psychiatry & Neurology | 124 South Columbia Ave, Lawrenceburg, TN 38464 | 2007-02-05 |
| 1164510160 | Lawrenceburg Neurology, PC | Psychiatry & Neurology | 190 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2006-10-11 |
| 1194786129 | Neurology Associates | Psychiatry & Neurology | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 | 2006-03-29 |
| 1013195452 | Norman Lin Mcnulty | Psychiatry & Neurology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4061 | 2008-02-07 |
| 1326142498 | Dearborn County Hospital | Psychiatry & Neurology | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2006-09-11 |
| 1740383009 | Neurology & Neurodiagnostic Clinic Professional Corporation | Psychiatry & Neurology | 606 Wilson Creek Rd, Ste. 210, Lawrenceburg, IN 47025-1095 | 2006-09-05 |
| 1114927712 | Usman Siddiqui | Psychiatry & Neurology | 606 Wilson Creek Rd, Ste. 210, Lawrenceburg, IN 47025-1095 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304530 | West Tn Neurology Clinic Pllc | Psychiatry & Neurology | 6570 Stage Rd Ste 202, Bartlett, TN 38134-2840 | 2019-03-06 |
| 1356873814 | Neurolocums Lc | Psychiatry & Neurology | 915 Hampstead Ln, Murfreesboro, TN 37129-1354 | 2017-04-03 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1861873846 | Rashi Krishnan | Psychiatry & Neurology | 1265 Union Avenue Dept of Neurology, Memphis, TN 38104 | 2015-06-15 |
| 1154717262 | Kayla Dawn Bowden | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 305, Cordova, TN 38018-4225 | 2015-04-15 |
| 1164841326 | Beth Anne Cavanaugh | Psychiatry & Neurology | 848 Adams Ave Ste 400l, Memphis, TN 38103-2816 | 2014-04-15 |
| 1255759288 | Lauren Emily Mccollum | Psychiatry & Neurology | 1932 Alcoa Hwy Ste 150, Knoxville, TN 37920-1532 | 2014-04-07 |
| 1881037240 | Adam Nagy | Psychiatry & Neurology | 3930 The Vanderbilt Clinic, 1301 Medical Center Drive, Nashville, TN 37232-5400 | 2013-04-16 |
| 1538424072 | East Tn Neurology LLC | Psychiatry & Neurology | 2253 Chambliss Ave. Nw, Suite 405, Cleveland, TN 37311-3861 | 2012-07-11 |
| 1629332143 | Sabrina Ahmed | Psychiatry & Neurology | 1800 Medical Center Pkwy Ste 410, Murfreesboro, TN 37129-3182 | 2012-06-29 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
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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.