AMG-HILLSIDE LLC
NPI 1144052002
Clinic/Center - Rural Health in Pulaski, TN
About Amg-hillside Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMG-HILLSIDE LLC (NPI 1144052002), doing business as Southern Tennessee Primary Care Eastside, is a healthcare organization registered as a rural health in Pulaski, Tennessee and active in the NPI registry since August 2024. The organization holds a CLIA Microscopy certificate valid through March 8, 2027 and lists Charlotte Lawrence, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amg-hillside Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
53Medicare enrollment records show 53 clinicians reassign Medicare billing to Amg-Hillside LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 53Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D2216061
Amg Hillside LLC Dba Southern Tennessee Primary Care Eastside · Pulaski, TNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amg-Hillside LLC's NPI number?
The NPI number for Amg-Hillside LLC is 1144052002. It was assigned to this organization in the NPPES registry on August 19, 2024. The provider is doing business as Southern Tennessee Primary Care Eastside.
Where is Amg-Hillside LLC located?
Amg-Hillside LLC is located at 104 Ivy Ln, Pulaski, TN 38478. The listed phone number is (931) 292-6544.
What is Amg-Hillside LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Amg-Hillside LLC enrolled in Medicare?
Yes. Amg-Hillside LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amg-Hillside LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 11 Medicare specialties reassign their Medicare billing to Amg-Hillside LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (26), Family Practice (8) and Internal Medicine (3). Of these, 1 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Amg-Hillside LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2216061) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Amg-Hillside LLC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amg-Hillside Llc · NPI 1144052002
Rural Health organization in Pulaski, Tennessee. Organization record, active in the CMS NPPES registry since August 19, 2024.
## Identity
- **NPI:** 1144052002 (Entity type: Organization)
- **Enumerated:** August 19, 2024
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Southern Tennessee Primary Care Eastside (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Charlotte Lawrence, SECRETARY
## Practice location
- **Address:** 104 IVY LN, Pulaski, TN 38478-4550
- **Phone:** (931) 292-6544 · **Fax:** (931) 292-6547
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 53 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (26), Family Practice (8), Internal Medicine (3); 1 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1144052002/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144052002) · Data from the CMS NPPES public registry.