AMG-HILLSIDE LLC
NPI 1053734186
Internal Medicine in Pulaski, TN

NPI Status: Active since January 24, 2014

Contact Information

1255 E COLLEGE ST
SUITE 400
PULASKI, TN
ZIP 38478
Phone: (931) 967-0543
Fax: (931) 363-7928

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  • Organization
  • Internal Medicine
  • CLIA Number: 44D2077209
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 05-14-2027

About AMG-HILLSIDE LLC

This page provides the complete NPI Profile along with additional information for Amg-hillside Llc, an internist established in Pulaski, Tennessee operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1053734186 assigned on January 2014. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Amg-hillside Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Charlotte Lawrence (Secretary)

NPI
1053734186
Provider Name
AMG-HILLSIDE LLC
Entity Type
Organization
Location Address
1255 E COLLEGE ST SUITE 400 PULASKI, TN 38478
Location Phone
(931) 967-0543
Location Fax
(931) 363-7928
Mailing Address
330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
Mailing Phone
(615) 920-7780
Mailing Fax
(931) 363-7928
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2014
Last Update Date
04-01-2025
Code Navigator

An internist like Amg-hillside Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
3207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
4207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
5208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
6208600000XAllopathic & Osteopathic Physicians

Surgery

 
7363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
8363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLOTTE LAWRENCE

Authorized Official Title
SECRETARY
Authorized Official Phone
(615) 920-7000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2077209
Facility Type
Rural Health Clinic
Certificate Effective Date
May 15, 2025
Certificate Expiration Date
May 14, 2027
Laboratory Director
DR. TERRI LYNN PHILPOTT
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Amg-hillside Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053734186, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 3 + 8 + 1 + 1 + 6 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053734186.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
1255 E COLLEGE ST, SUITE 100
PULASKI, TN 38478
Specialist
1255 E COLLEGE ST
PULASKI, TN 38478
Obstetrics & Gynecology
1255 E COLLEGE ST, STE. 100
PULASKI, TN 38478
Internal Medicine
1255 E COLLEGE ST, SUITE 500
PULASKI, TN 38478
Obstetrics & Gynecology
1255 E COLLEGE ST, SUITE 100
PULASKI, TN 38478
Surgery
1255 E COLLEGE ST, SUITE 500
PULASKI, TN 38478
Internal Medicine
1255 E COLLEGE ST, SUITE 400
PULASKI, TN 38478
Surgery
1255 E COLLEGE ST, SUITE 500
PULASKI, TN 38478
Family Medicine
1255 E COLLEGE ST, SUITE 100
PULASKI, TN 38478

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053734186, enumerated as an "organization" on January 24, 2014.

The provider is located at 1255 E COLLEGE ST SUITE 400 PULASKI, TN 38478 and the phone number is (931) 967-0543.

Internal Medicine with taxonomy code 207R00000X.