CHARLEY CROCKETT
NPI 1376419960
Physician Assistant in Jacksboro, TN
About Charley Crockett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLEY CROCKETT (NPI 1376419960) is an individual physician assistant in Jacksboro, Tennessee, licensed in Tennessee (6819) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton, and is a graduate of Lincoln Memorial University Medical Department (2025).
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Charley Crockett is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSBORO, TN 37757
JACKSBORO, TN 37757
JACKSBORO, TN 37757
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376419960, enumerated as an "individual" on October 13, 2025.
The provider is located at 2702 JACKSBORO PIKE JACKSBORO, TN 37757 and the phone number is (423) 374-7775.
Physician Assistant with taxonomy code 363A00000X.
