AMG CROCKETT LLC (NPI# 1316349764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316349764 |
| Entity Type | Organization |
| Organization Name | AMG CROCKETT LLC |
| Other Organization Name | SUMMERTOWN MEDICAL CENTER |
| Practice Address |
4955 Highway 43 N Mount Pleasant TN 38474-5010 |
| Practice Telephone | 6159207231 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | LEANNE BARRETT (DIRECTOR) |
| Authorized Official Telephone | 6159207231 |
| 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 |
|---|---|
| SUMMERTOWN MEDICAL CENTER | 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 |
| 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 |
| 1245634021 | Amg Crockett LLC | Internal Medicine | 1323 S Locust Ave, Lawrenceburg, TN 38464-4040 | 2014-10-22 |
| 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 |
4955 HIGHWAY 43 N |
| City | MOUNT PLEASANT |
| State | TN |
| Zip Code | 38474-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750891677 | Diabetes Management Associates | Registered Nurse | 401 First Avenue, Mt. Pleasant, TN 38474 | 2017-10-05 |
| 1124107354 | Tadd T Thompson | Family Medicine | 4955 D Hwy 43 North, Mount Pleasant, TN 38474 | 2006-11-06 |
| 1275611600 | Delia Fernandez | Dentist | 703 N. Main St., Mt. Pleasant, TN 38474 | 2006-11-02 |
| 1659485183 | Charles Vance Hendrickson | Dentist | 703 N Main St, Mt Pleasant, TN 38474 | 2006-08-19 |
| 1225246630 | Carolyns Transportation | Non-emergency Medical Transport (VAN) | 108 Iris Dr, Mt Pleasant, TN 38474-1009 | 2007-05-18 |
| 1902909385 | Michael L Tyler | Dentist | 703 North Main Street, Mt Pleasant, TN 38474-1015 | 2006-09-07 |
| 1083181531 | Michael L. Tyler Dds | Clinic/Center | 703 N Main St, Mt Pleasant, TN 38474-1015 | 2018-11-01 |
| 1235619271 | Lynn Ruch | Physical Therapist | 815 N Main St, Mt Pleasant, TN 38474-1017 | 2018-08-20 |
| 1235639584 | Fast Pace Medical Clinic, Pllc | Family Medicine | 811 N Main St, Mt Pleasant, TN 38474-1017 | 2018-02-13 |
| 1174048268 | Walgreen Co | Pharmacy | 801 N Main St, Mt Pleasant, TN 38474-1017 | 2017-08-09 |
| Find all providers in zip 38474 | ||||
| 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 |
|---|---|---|---|---|
| 1811533789 | Smith Family Md, Inc | Family Medicine | 990 Lake Hunter Cir Ste 101a, Mount Pleasant, SC 29464-5426 | 2019-11-26 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1386168680 | Esposito Medical Associates Ltd | Family Medicine | 599 N Church St Ste 200, Mount Pleasant, PA 15666-1004 | 2017-07-28 |
| 1063803377 | Kristen Taylor | Family Medicine | 2480 Rosewood N, Mount Pleasant, MI 48858-5003 | 2015-02-09 |
| 1669743357 | Carolina Family Care | Family Medicine | 200 Ports Authority Dr, Mount Pleasant, SC 29464-7998 | 2012-01-26 |
| 1538458401 | Jennifer Lo | Family Medicine | 8400 Washington Ave Ste 105, Mount Pleasant, WI 53406-3735 | 2011-03-31 |
| 1114184124 | Milad Ishak Shaker | Family Medicine | 308 Bessemer Rd, Suite 100, Mount Pleasant, PA 15666-9134 | 2008-05-19 |
| 1487820718 | Christy L. Cone | Family Medicine | 710 Johnnie Dodds Blvd Ste 315, Mount Pleasant, SC 29464-3045 | 2008-05-06 |
| 1952470965 | Justin James Woods | Family Medicine | 5401 Spring St, Mount Pleasant, WI 53406-2911 | 2006-11-06 |
| 1124107354 | Tadd T Thompson | Family Medicine | 4955 D Hwy 43 North, Mount Pleasant, TN 38474 | 2006-11-06 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 38474 |
Please comment or provide details below to improve the information on AMG CROCKETT LLC.
| 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.