AMG CROCKETT LLC (NPI# 1457666372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457666372 |
| Entity Type | Organization |
| Organization Name | AMG CROCKETT LLC |
| Other Organization Name | SOUTHERN TENNESSEE ORTHOPEDIC AND SPINE CENTER |
| Practice Address |
1605 S Locust Ave Suite 101 Lawrenceburg TN 38464-4061 |
| Practice Telephone | 9317624400 |
| Practice Fax Number | 9317624499 |
| Mailing Telephone | 9317624400 |
| Mailing Fax Number | 9317624499 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | DAWN COBB (CRED SPEC) |
| Authorized Official Telephone | 4233644817 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1520396 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Orthopedic and Spine 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 |
| 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 |
| 1245634021 | Amg Crockett LLC | Internal Medicine | 1323 S Locust Ave, Lawrenceburg, TN 38464-4040 | 2014-10-22 |
| 1851531693 | Amg Crockett LLC | Family Medicine | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2009-03-05 |
| Street Address |
1605 S LOCUST AVE SUITE 101 |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-4061 |
| 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 |
| 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 |
| 1043475700 | Amg-crockett, LLC | Psychiatry & Neurology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104849876 | Alan R. Kohlhaas | Orthopaedic Surgery | 555 E. Eads Pkwy, Ste 100, Lawrenceburg, IN 47025-7385 | 2006-07-25 |
| 1235182098 | Gary David Rubin | Orthopaedic Surgery | 1323 S. Locust Avenue, Lawrenceburg, TN 38464 | 2006-05-19 |
| 1083615801 | Jimmy D. Swanson, Md, Inc. | Orthopaedic Surgery | 272 Bielby Rd, Lawrenceburg, IN 47025-1056 | 2005-08-02 |
| 1174848196 | Ronald Thomas Auer | Orthopaedic Surgery | 272 Bielby Rd, Lawrenceburg, IN 47025-1056 | 2010-04-01 |
| 1336306117 | Lawrenceburg Orthopaedics and Sports Medicine Institute PC | Orthopaedic Surgery | 1323 S Locust Ave, Lawrenceburg, TN 38464-4040 | 2008-05-20 |
| 1346363819 | Jimmy Swanson | Orthopaedic Surgery | 272 Bielby Rd, Lawrenceburg, IN 47025-1056 | 2007-04-09 |
| 1336234616 | Jarvis Earl | Orthopaedic Surgery | 272 Bielby Rd, Lawrenceburg, IN 47025-1056 | 2006-10-04 |
| 1598720674 | Raymond Keith Jarman | Orthopaedic Surgery | 272 Bielby Rd, Lawrenceburg, IN 47025 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428816 | Tennessee Valley Orthopaedics, LLC | Orthopaedic Surgery | 110 Hospital Dr Ste G20, Jefferson City, TN 37760-5281 | 2020-05-13 |
| 1043831498 | Elite Sports Medicine & Orthopaedic Center, Plc | Orthopaedic Surgery | 395 Wallace Rd Ste 201a, Nashville, TN 37211-4881 | 2020-04-27 |
| 1588291694 | Tennessee Orthopaedic Alliance Pa | Orthopaedic Surgery | 215 Gothic Ct # 100, Franklin, TN 37067-8313 | 2020-03-26 |
| 1861029084 | Premier Orthopaedics & Sports Medicine, Plc | Orthopaedic Surgery | 2933 Medical Center Pkwy Ste D, Murfreesboro, TN 37129-2391 | 2020-03-26 |
| 1417597196 | Spine and Orthopedic Specialists of Tennessee, Pllc | Orthopaedic Surgery | 2002 Richard Jones Rd Ste C300, Nashville, TN 37215-2867 | 2020-01-10 |
| 1033757802 | Mark S. Sumida, Md Pllc | Orthopaedic Surgery | 1724 Hamill Rd Ste 204, Hixson, TN 37343-5098 | 2019-12-12 |
| 1629619820 | Jon Slaven | Orthopaedic Surgery | 260 Midway Medical Park Ste 100, Bristol, TN 37620-1722 | 2019-09-30 |
| 1427614916 | Nord Regenerative Sports Medicine, LLC | Orthopaedic Surgery | 2025 Greystone Sq, Jackson, TN 38305-3576 | 2019-05-10 |
| 1801357058 | Bone and Joint Institute of Tennessee Inc | Orthopaedic Surgery | 1106 Elliston Way Ste 300, Thompsons Station, TN 37179-4407 | 2019-03-29 |
| 1861926479 | University of Tennessee Martin | Orthopaedic Surgery | 95 Mount Pelia Rd, Elam Center, Martin, TN 38238-0001 | 2017-04-20 |
| 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.