AMG CROCKETT LLC (NPI# 1326550732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326550732 |
| Entity Type | Organization |
| Organization Name | AMG CROCKETT LLC |
| Other Organization Name | SOUTHERN TENNESSEE PEDIATRICS |
| Practice Address |
1908 N Locust Ave Lawrenceburg TN 38464-2334 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 9317625988 |
| Practice Fax Number | 9317625589 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | SARA L MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Pediatrics | 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 |
| 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 |
|---|---|---|---|---|
| 1063802767 | Amg Crockett LLC | Nurse Practitioner | 1908 N Locust Ave, Lawrenceburg, TN 38464-2334 | 2015-02-02 |
| 1134693344 | Lauren Elizabeth Ray | Nurse Practitioner | 1908 N Locust Ave, Lawrenceburg, TN 38464-2334 | 2019-01-22 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104103985 | Danville Pediatrics and Primary Care, Pllc | Pediatrics | 1100 Glensboro Rd, Parkview Center Suite 6, Lawrenceburg, KY 40342-9083 | 2011-11-08 |
| 1255427258 | West Side Pediatrics Inc | Pediatrics | 24095 Stateline Rd, Lawrenceburg, IN 47025 | 2006-10-05 |
| 1679541858 | Courtney R Canos | Pediatrics | 132 Industrial Drive, Lawrenceburg, IN 47025 | 2006-03-14 |
| 1184629792 | Thomas Scott Benefield | Pediatrics | 320 Crews St, Lawrenceburg, TN 38464-4429 | 2005-06-20 |
| 1679001317 | Amy Michelle Clark | Pediatrics | 98 Elm St, Lawrenceburg, IN 47025-2048 | 2017-05-25 |
| 1619119559 | Carey Compton Bertsch | Pediatrics | 98 Elm St, Lawrenceburg, IN 47025-2048 | 2009-03-24 |
| 1477750727 | Veronica Fua Jensen | Pediatrics | 132 Industrial Dr, Lawrenceburg, IN 47025-1116 | 2007-06-29 |
| 1154380004 | Crockett Kids Pediatrics, P.C. | Pediatrics | 320 Crews St, Lawrenceburg, TN 38464-4429 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040131 | Mebe Tennessee | Pediatrics | 6339 Charlotte Pike # 1035, Nashville, TN 37209-2926 | 2020-10-14 |
| 1427679208 | Susan Ashley Stallings | Pediatrics | 5115 Woodland Hills Dr, Brentwood, TN 37027-5821 | 2020-05-03 |
| 1871112375 | Pediatric Medical Urgent Care Services Pllc | Pediatrics | 2249 Medical Center Pkwy Ste C&d, Murfreesboro, TN 37129-4279 | 2020-04-14 |
| 1508412347 | Amber Michelle Steeley | Pediatrics | 2713 Stone Trace Dr, Chattanooga, TN 37421-1194 | 2019-08-16 |
| 1083189377 | Rachel Ames | Pediatrics | 537 Stonecrest Pkwy Ste 201, Smyrna, TN 37167-6895 | 2018-10-12 |
| 1205333481 | Summit Medical Group,pllc | Pediatrics | 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 | 2018-04-12 |
| 1225566953 | Justin Wade Widner | Pediatrics | 424 N Broad St Ste B, New Tazewell, TN 37825-6606 | 2017-05-25 |
| 1952834558 | Jack Moore Whitehead | Pediatrics | 95 Seaboard Ln Ste 201, Brentwood, TN 37027-3040 | 2017-04-10 |
| 1134677818 | Dixie Swanson | Pediatrics | 2705 Daventry Dr, Maryville, TN 37804-6141 | 2016-09-12 |
| 1568817658 | Elizabeth Shawn Keiner | Pediatrics | 2200 Childrens Way # B319, Nashville, TN 37232-9760 | 2016-04-26 |
| 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.