AMG CROCKETT LLC (NPI# 1952780454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952780454 |
| Entity Type | Organization |
| Organization Name | AMG CROCKETT LLC |
| Other Organization Name | SOUTHERN TENNESSEE PRIMARY CARE |
| Practice Address |
1009 N Locust Ave Lawrenceburg TN 38464-2746 |
| Practice Telephone | 9317620531 |
| Practice Fax Number | 9317620998 |
| Mailing Telephone | 9317620531 |
| Mailing Fax Number | 9317620998 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | CASEY WILLIS (MANAGER) |
| Authorized Official Telephone | 9317664574 |
| 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 | 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 |
| 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 |
1009 N LOCUST AVE |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144312372 | Clayton D Wilson | Family Medicine | 1009 N Locust Ave, Suite 1, Lawrenceburg, TN 38464-2706 | 2006-09-28 |
| 1720558802 | Seven Springs Orthopaedics, PC | Physical Therapist | 1009 N Locust Ave, Lawrenceburg, TN 38464-2746 | 2018-11-30 |
| 1215320650 | Seven Springs and Sports Medicine | Orthopaedic Surgery | 1009 N Locust Ave, Ste B, Lawrenceburg, TN 38464-2746 | 2015-03-10 |
| 1427203207 | Clayton D Wilson Md | Family Medicine | 1009 N Locust Ave, Suite 1, Lawrenceburg, TN 38464-2746 | 2008-11-20 |
| 1265617674 | Centennial Primary Care LLC | Family Medicine | 1009 N Locust Ave, Suite 1, Lawrenceburg, TN 38464-2706 | 2008-01-03 |
| 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 | 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 |
|---|---|---|---|---|
| 1174153555 | Jennifer Renee Williams | Family Medicine | 307 W Point Rd, Lawrenceburg, TN 38464-3055 | 2020-01-24 |
| 1437401080 | All Pro Health LLC | Family Medicine | 1238 1st Ave, Lawrenceburg, TN 38464-2704 | 2012-10-05 |
| 1447382361 | Gregory A Hines | Family Medicine | 1311 S Locust Ave, Suite 102, Lawrenceburg, TN 38464-4040 | 2007-03-09 |
| 1144312372 | Clayton D Wilson | Family Medicine | 1009 N Locust Ave, Suite 1, Lawrenceburg, TN 38464-2706 | 2006-09-28 |
| 1902919962 | Matthew C Dobias | Family Medicine | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 | 2006-08-16 |
| 1609886936 | Homer Lee Staley | Family Medicine | 104 N Locust Ave, Lawrenceburg, TN 38464-3734 | 2006-08-09 |
| 1982659496 | Anderson Primary Care LLC | Family Medicine | 1055 Corporate Drive, Lawrenceburg, KY 40342 | 2006-05-23 |
| 1003884156 | Charles Robert Claydon | Family Medicine | 605 Wilson Creek Rd, Suite 102, Lawrenceburg, IN 47025 | 2006-03-14 |
| 1356310379 | Laura Jill Tibbe | Family Medicine | 24129 Professional Park Dr, Lawrenceburg, IN 47025 | 2006-03-14 |
| 1134195860 | Gregory Alan Hines | Family Medicine | 1311 S Locust Ave Ste 102, Suite 102, Lawrenceburg, TN 38464-4054 | 2006-02-23 |
| Find all providers in LAWRENCEBURG | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
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.