Norman Mcnulty (NPI# 1013195452, PAC ID# 3870647720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1013195452 |
| PAC ID by PECOS | 3870647720 |
| Professional Enrollment ID | I20120620000800 |
| Full Name | Norman Mcnulty |
| Organization Legal Name | AMG-CROCKETT, LLC |
| Address |
1321 S Locust Ave Lawrenceburg TN 38464-4040 |
| Phone Number | 9317663637 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 4789770199 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440175 | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE |
| 440020 | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI |
| Address | Phone | Organization |
|---|---|---|
| 1321 S Locust Ave, Lawrenceburg, TN 38464-4040 | 9317663637 | AMG-CROCKETT, LLC |
| 1323 S Locust Ave, Lawrenceburg, TN 38464-4040 | 9317660850 | AMG-CROCKETT, LLC |
| 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 | AMG-CROCKETT, LLC | |
| 106 S Military St, B, Loretto, TN 38469-2100 | 9318534622 | AMG-CROCKETT, LLC |
| 1265 E College St, Pulaski, TN 38478-4541 | 9317664560 | AMG-CROCKETT, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 80% | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 89% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 6% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 11% |
| Organization Legal Name | AMG-CROCKETT, LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Racheal M Kightlinger | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| John P. Kristofich | Cardiovascular Disease (cardiology) | Amg-crockett, LLC | 1611 S Locust Ave, Suite 200b, Lawrenceburg, TN 38464-4055 |
| Alvin Matthew Maliakal | Internal Medicine | Amg-crockett, LLC | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 |
| Katrina M. Dial | Certified Nurse Midwife (cnm) | Amg-crockett, LLC | 1605 S Locust Ave, Suite 101, Lawrenceburg, TN 38464-4053 |
| Tracey K Williams | Nurse Practitioner | Amg-crockett, LLC | 4955d Hwy 43 N, Mount Pleasant, TN 38474-5010 |
| Elbert G Warren | Obstetrics/gynecology | Amg-crockett, LLC | 106 S Military St, B, Loretto, TN 38469-2100 |
| Haley Beecham Phillips | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Amanda D Haneline | Obstetrics/gynecology | Amg-crockett, LLC | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 |
| Brooke Huffsmith | Obstetrics/gynecology | Amg-crockett, LLC | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 |
| Michael Quang-minh Huynh | General Surgery | Amg-crockett, LLC | 192 Prosser Rd, Lawrenceburg, TN 38464-4233 |
| Street Address |
1321 S LOCUST AVE |
| City | LAWRENCEBURG |
| State | TN |
| Zip | 38464-4040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vikas Jain | Pulmonary Disease | Amg-crockett, LLC | 1321 S Locust Ave, Lawrenceburg, TN 38464-4040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Will | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1607s Locust Ave Hwy 43, Lawrenceburg, TN 38464 |
| Jason Arden Mccawley | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1607s Locust Ave Hwy 43, Lawrenceburg, TN 38464 |
| Shonda Danielle Morris | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Kellie D Coffey | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Richard D Kennedy | Family Medicine | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Wanda Moore | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Racheal M Kightlinger | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Haley Beecham Phillips | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Leslie N Bedford | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Christopher Chase Davis | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Find all physicians in zip 38464 | |||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
| Specialty | NEUROLOGY |
| City + Specialty | LAWRENCEBURG + NEUROLOGY |
Please comment or provide details below to improve the information on Norman Mcnulty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.