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SUMMERTOWN MEDICAL CENTER
NPI 1255069639
Clinic/Center - Rural Health in Mt Pleasant, TN

Active since August 12, 2022CLIA 44D2089742 · Microscopy
4995 HIGHWAY 43 N, STE D, MT PLEASANT, TN 38474(931) 964-0849(931) 964-0852 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2024, Aug 12, 2022 (2 updates tracked since 2022).

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

NPI1255069639
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAMG-CROCKETT LLC
Location Address4995 HIGHWAY 43 N, STE DMt Pleasant, TN 38474
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000
Phone(931) 964-0849
Fax(931) 964-0852
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateAugust 12, 2022
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1255069639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
4995 HIGHWAY 43 N, Mt Pleasant, TN 38474
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Other Names 1

Doing Business AsSummertown Medical Center

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, TN
Active · expires Jan 6, 2027
CLIA Number44D2089742
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorLori James
Laboratory Phone(931) 964-0849
Laboratory LocationSummertown Medical Center4955D Hwy 43 North, Mount Pleasant, TN 38474
CLIA data matches this NPI record on: 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.

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-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.

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 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.