AMG CROCKETT LLC (NPI# 1063802767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063802767 |
| Entity Type | Organization |
| Organization Name | AMG CROCKETT LLC |
| Other Organization Name | WELL-MED LAWRENCEBURG |
| Practice Address |
1908 N Locust Ave Lawrenceburg TN 38464-2334 |
| Practice Telephone | 9312447600 |
| Practice Fax Number | 9312447601 |
| Mailing Telephone | 9312447600 |
| Mailing Fax Number | 9312447601 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-04-28 |
| 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 | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Well-Med Lawrenceburg | 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 |
| 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 |
| 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 |
1908 N LOCUST AVE |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134693344 | Lauren Elizabeth Ray | Nurse Practitioner | 1908 N Locust Ave, Lawrenceburg, TN 38464-2334 | 2019-01-22 |
| 1326550732 | Amg Crockett LLC | Pediatrics | 1908 N Locust Ave, Lawrenceburg, TN 38464-2334 | 2017-10-26 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370019 | Bernadette Gray | Nurse Practitioner | 165 Mary St, Lawrenceburg, IN 47025-1921 | 2020-06-09 |
| 1659917755 | Carol Annette Stephenson | Nurse Practitioner | 1085 E Gaines St, Lawrenceburg, TN 38464-3865 | 2019-11-23 |
| 1790267870 | Amanda Layne Sebastian | Nurse Practitioner | 1395 Meadow Lark Dr, Lawrenceburg, KY 40342-8806 | 2018-09-05 |
| 1033699103 | Alicia Husted | Nurse Practitioner | 114 Cardinal Dr, Lawrenceburg, KY 40342-1008 | 2018-08-18 |
| 1114436458 | Kimberly Page Myers | Nurse Practitioner | 1000 W Park Dr, Lawrenceburg, KY 40342-8074 | 2017-09-28 |
| 1265984785 | Patrick Richardson | Nurse Practitioner | 1004 Bypass N, Lawrenceburg, KY 40342-8049 | 2016-11-01 |
| 1487026654 | Linda Kelley | Nurse Practitioner | 1407 N Locust Ave, Lawrenceburg, TN 38464-2200 | 2015-10-27 |
| 1902207301 | Leeann Mckenna Spivey | Nurse Practitioner | 92 Plaza Drive, Lawrenceburg, KY 40342 | 2014-09-04 |
| 1154747483 | Sarah Lynn Brown | Nurse Practitioner | 465a Bielby Rd, Lawrenceburg, IN 47025-1058 | 2014-03-11 |
| 1316387764 | Kimberly Dawn Phillips | Nurse Practitioner | 1180 Glensboro Rd, Lawrenceburg, KY 40342-9034 | 2013-06-30 |
| 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.