AMG CROCKETT LLC (NPI# 1245634021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245634021 |
| Entity Type | Organization |
| Organization Name | AMG CROCKETT LLC |
| Other Organization Name | SOUTHERN TENNESSEE PULMONOLOGY |
| Practice Address |
1323 S Locust Ave Lawrenceburg TN 38464-4040 |
| Practice Telephone | 9317660850 |
| Practice Fax Number | 9317660849 |
| Mailing Telephone | 9317660850 |
| Mailing Fax Number | 9317660849 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | CASEY J. WILLIS (MARKET MANAGER) |
| Authorized Official Telephone | 9317663344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Pulmonology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013374073 | Amg Crockett LLC | Internal Medicine | 1611 S Locust Ave, Suite 200b, Lawrenceburg, TN 38464-4055 | 2016-01-21 |
| 1063802767 | Amg Crockett LLC | Nurse Practitioner | 1908 N Locust Ave, Lawrenceburg, TN 38464-2334 | 2015-02-02 |
| 1316349764 | Amg Crockett LLC | Family Medicine | 4955 Highway 43 N, Mount Pleasant, TN 38474-5010 | 2014-09-17 |
| 1730511858 | Amg Crockett LLC | Family Medicine | 550 Highway 64 E, Hurricane Plaza Suite 4, Waynesboro, TN 38485-3037 | 2013-07-31 |
| 1659514776 | Amg Crockett LLC | Family Medicine | 106 S Military Ave, Loretto, TN 38469-2101 | 2009-04-20 |
| 1326550732 | Amg Crockett LLC | Pediatrics | 1908 N Locust Ave, Lawrenceburg, TN 38464-2334 | 2017-10-26 |
| 1881103810 | Amg Crockett LLC | Urology | 190 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2017-09-21 |
| 1952780454 | Amg Crockett LLC | Family Medicine | 1009 N Locust Ave, Lawrenceburg, TN 38464-2746 | 2015-05-29 |
| 1457666372 | Amg Crockett LLC | Orthopaedic Surgery | 1605 S Locust Ave, Suite 101, Lawrenceburg, TN 38464-4061 | 2010-08-16 |
| 1851531693 | Amg Crockett LLC | Family Medicine | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2009-03-05 |
| Street Address |
1323 S LOCUST AVE |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700834579 | Lawrenceburg Orthopaedics, PC | Specialist | 1323 S Locust Ave, Lawrenceburg, TN 38464-4040 | 2006-05-04 |
| 1336306117 | Lawrenceburg Orthopaedics and Sports Medicine Institute PC | Orthopaedic Surgery | 1323 S Locust Ave, Lawrenceburg, TN 38464-4040 | 2008-05-20 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225294630 | G Terence Reuland | Internal Medicine | 19378 Par Dr, Lawrenceburg, IN 47025-7938 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035774 | East Tennessee Pulmonary and Sleep Medicine | Internal Medicine | 1404 Tusculum Blvd Ste 2200, Greeneville, TN 37745-4395 | 2020-02-20 |
| 1043722754 | Nathan H Mull Iv LLC | Internal Medicine | 200 Sylvan Dr, Lookout Mountain, TN 37350-1630 | 2017-11-03 |
| 1639694615 | Eventa LLC | Internal Medicine | 102 W Court Sq, Livingston, TN 38570-1882 | 2017-08-10 |
| 1669903803 | Blue Ridge Medical Management Corporation | Internal Medicine | 1497 W Elk Ave Ste 22b, Elizabethton, TN 37643-2896 | 2017-03-21 |
| 1437502960 | Hawkins Physician Services,pllc | Internal Medicine | 1112 E Main St, Rogersville, TN 37857-2808 | 2016-07-20 |
| 1063830826 | Rachel Guthrie | Internal Medicine | 1900 N Winston Rd Ste 501, Knoxville, TN 37919-3605 | 2014-03-30 |
| 1326312091 | Theodore Feld Reiss | Internal Medicine | 1161 21st Ave South T-1218 Medical Center North, Vanderbilt University School of Medicine, Nashville, TN 37232-2650 | 2012-02-28 |
| 1699065722 | Radhika Shah | Internal Medicine | 979 E 3rd St Ste C735, Chattanooga, TN 37403-3310 | 2011-04-11 |
| 1902103666 | Amanda Kay Vanlandingham | Internal Medicine | 310 N State of Franklin Rd Ste 303, Johnson City, TN 37604-6051 | 2011-02-16 |
| 1528360765 | Geraldo Enrique Holguin | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404-1138 | 2010-11-20 |
| 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.