SUMMERTOWN MEDICAL CENTER
NPI 1255069639
Clinic/Center - Rural Health in Mt Pleasant, TN
About Summertown Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMERTOWN MEDICAL CENTER (NPI 1255069639) is a healthcare organization registered as a rural health in Mt Pleasant, Tennessee and active in the NPI registry since August 2022. The organization holds a CLIA Microscopy certificate valid through January 6, 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)
Summertown Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
91Medicare enrollment records show 91 clinicians reassign Medicare billing to Summertown Medical Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 91Source: 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) 44D2089742
Summertown Medical Center · Mount Pleasant, 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-Crockett LLC's NPI number?
The NPI number for Amg-Crockett LLC is 1255069639. It was assigned to this organization in the NPPES registry on August 12, 2022. The provider is doing business as Summertown Medical Center.
Where is Amg-Crockett LLC located?
Amg-Crockett LLC is located at 4995 Highway 43 N Ste D, Mt Pleasant, TN 38474. The listed phone number is (931) 964-0849.
What is Amg-Crockett LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Amg-Crockett LLC enrolled in Medicare?
Yes. Amg-Crockett LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amg-Crockett LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 91 clinicians in 16 Medicare specialties reassign their Medicare billing to Amg-Crockett 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 (47), Family Practice (7) and Certified Nurse Midwife (CNM) (6). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Amg-Crockett LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2089742) is associated with this NPI, valid through January 6, 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-Crockett LLC was last updated on September 12, 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.
# Summertown Medical Center · NPI 1255069639
Rural Health organization in Mt Pleasant, Tennessee. Organization record, active in the CMS NPPES registry since August 12, 2022.
## Identity
- **NPI:** 1255069639 (Entity type: Organization)
- **Enumerated:** August 12, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Amg-Crockett Llc
- **Organization subpart:** No
- **Authorized official:** Charlotte Lawrence, SECRETARY
## Practice location
- **Address:** 4995 HIGHWAY 43 N, STE D, Mt Pleasant, TN 38474
- **Phone:** (931) 964-0849 · **Fax:** (931) 964-0852
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 91 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (47), Family Practice (7), Certified Nurse Midwife (CNM) (6); [full list](https://npiprofile.com/npi/1255069639/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255069639) · Data from the CMS NPPES public registry.