AMG-CROCKETT, LLC (NPI# 1144593658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144593658 |
| Entity Type | Organization |
| Organization Name | AMG-CROCKETT, LLC |
| Other Organization Name | WOMENS HEALTH CLINIC |
| Practice Address |
1605 S Locust Ave Suite 200 Lawrenceburg TN 38464-4061 |
| Mailing Address |
Po Box 248 Lawrenceburg TN 38464-0248 |
| Practice Telephone | 9317664560 |
| Mailing Telephone | 9317664560 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | MICHAEL CLARK (DIVISION PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1527089 | 05 |
| Other Name | Type Code |
|---|---|
| Womens Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1811543929 | Amg-crockett, LLC | Clinic/Center | 722 N Military St, Loretto, TN 38469-2336 | 2019-08-14 |
| 1578836011 | Amg-crockett, LLC | Surgery | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1043475700 | Amg-crockett, LLC | Psychiatry & Neurology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2008-07-22 |
| 1689843153 | Amg-crockett, LLC | Family Medicine | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2008-02-28 |
| 1912125600 | Amg-crockett, LLC | Urology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2007-04-20 |
| Street Address |
1605 S LOCUST AVE SUITE 200 |
| 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 |
| 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 |
| 1457666372 | Amg Crockett LLC | Orthopaedic Surgery | 1605 S Locust Ave, Suite 101, Lawrenceburg, TN 38464-4061 | 2010-08-16 |
| 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 | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699161117 | Heather Michelle Wherry | Obstetrics & Gynecology | 7705 Poplar Ave Bldg B, Germantown, TN 38138-3930 | 2015-04-10 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1265766877 | Obstetrics and Medicine Pllc | Obstetrics & Gynecology | 6005 Park Ave Ste 310, Memphis, TN 38119-5213 | 2009-09-29 |
| 1275584716 | Kenneth R O'kelley | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-12 |
| 1003880493 | John Sindos Adams Sr. | Obstetrics & Gynecology | 929 Spring Creek Road, Suite 104, Chattanooga, TN 37412-3974 | 2006-02-14 |
| 1538162748 | Alfonzo S Arze | Obstetrics & Gynecology | 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 | 2005-05-23 |
| 1275186504 | Tessa B Eckhardt | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2019-07-16 |
| 1346641156 | Mistye Taylor Md Pllc | Obstetrics & Gynecology | 300 Stonecrest Blvd, 490, Smyrna, TN 37167-5688 | 2014-09-11 |
| 1588083943 | Stephanie Dallas | Obstetrics & Gynecology | 1161 21st Ave S, R-1214 Mcn, Nashville, TN 37232-2521 | 2014-04-15 |
| 1720407182 | Kreg Gosta Jonson | Obstetrics & Gynecology | 1511 Gunbarrel Rd Ste 111, Chattanooga, TN 37421-3897 | 2014-04-14 |
| Find all providers with the same taxonomy | ||||
| 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.