AMG-HILLSIDE LLC
NPI 1144052002
Clinic/Center - Rural Health in Pulaski, TN

Active since August 19, 2024CLIA 44D2216061 · Microscopy
104 IVY LN, PULASKI, TN 38478(931) 292-6544(931) 292-6547 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1144052002
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAMG-HILLSIDE LLC
Location Address104 IVY LNPulaski, TN 38478-4550
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Fax(931) 292-6547
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
NPI 1144052002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
104 IVY LN, Pulaski, TN 38478

Other Names 1

Doing Business AsSouthern Tennessee Primary Care Eastside

Accepted Insurance

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, TN
Active · expires Mar 8, 2027
CLIA Number44D2216061
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorGinger Hamilton
Laboratory Phone(931) 292-6544
Laboratory LocationAmg Hillside LLC Dba Southern Tennessee Primary Care Eastside104 Ivy Lane, Pulaski, TN 38478
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
104 IVY LN
PULASKI, TN 38478
Counselor (Professional)
104 IVY LN
PULASKI, TN 38478
Family Medicine
104 IVY LN
PULASKI, TN 38478

Frequently 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.

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.

What insurance does Amg-Hillside LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Amg-Hillside LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 23 months 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.