SOUTHERN TENNESSEE INTERNAL MEDICINE - LAWRENCEBURG
NPI 1417739640
Clinic/Center - Rural Health in Lawrenceburg, TN

Active since October 23, 2023CLIA 44D0679118 · Microscopy
184 PROSSER RD, LAWRENCEBURG, TN 38464(931) 762-5115 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Oct 31, 2023, Oct 23, 2023 (3 updates tracked since 2023).

About Southern Tennessee Internal Medicine - Lawrenceburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN TENNESSEE INTERNAL MEDICINE - LAWRENCEBURG (NPI 1417739640) is a healthcare organization registered as a rural health in Lawrenceburg, Tennessee and active in the NPI registry since October 2023. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1417739640
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAMG-CROCKETT, LLC
Location Address184 PROSSER RDLawrenceburg, TN 38464-4233
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateOctober 23, 2023
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
NPI 1417739640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
184 PROSSER RD, Lawrenceburg, TN 38464

Other Names 1

Doing Business AsSouthern Tennessee Internal Medicine - Lawrenceburg

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) 44D0679118

Southern Tennessee Internal Medicine Lawrenceburg · Lawrenceburg, TN
Active · expires Aug 31, 2026
CLIA Number44D0679118
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHaley Phillips
Laboratory Phone(931) 762-5115
Laboratory LocationSouthern Tennessee Internal Medicine Lawrenceburg184 Prosser Road, Lawrenceburg, TN 38464
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 8

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

Nurse Practitioner (Family)
184 PROSSER RD
LAWRENCEBURG, TN 38464
Family Medicine
184 PROSSER RD
LAWRENCEBURG, TN 38464
Family Medicine
184 PROSSER RD
LAWRENCEBURG, TN 38464
Nurse Practitioner (Family)
184 PROSSER RD
LAWRENCEBURG, TN 38464
Family Medicine
184 PROSSER RD
LAWRENCEBURG, TN 38464
Internal Medicine
184 PROSSER RD
LAWRENCEBURG, TN 38464
Nurse Practitioner (Family)
184 PROSSER RD
LAWRENCEBURG, TN 38464
Family Medicine
184 PROSSER RD
LAWRENCEBURG, TN 38464

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 1417739640. It was assigned to this organization in the NPPES registry on October 23, 2023. The provider is doing business as Southern Tennessee Internal Medicine - Lawrenceburg.

Where is Amg-Crockett, LLC located?

Amg-Crockett, LLC is located at 184 Prosser Rd, Lawrenceburg, TN 38464. The listed phone number is (931) 762-5115.

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 44D0679118) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Amg-Crockett, LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Amg-Crockett, 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-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 22 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.