SOUTHERN TENNESSEE INTERNAL MEDICINE - LAWRENCEBURG
NPI 1417739640
Clinic/Center - Rural Health in Lawrenceburg, TN
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, 2028 and lists Charlotte Lawrence, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Tennessee Internal Medicine - Lawrenceburg 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 Southern Tennessee Internal Medicine - Lawrenceburg, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 91Lawrenceburg, TN 38464
Source: 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) 44D0679118
Southern Tennessee Internal Medicine Lawrenceburg · Lawrenceburg, 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 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.
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). Of these, 4 practice at this address and 33 within 10 miles. 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 44D0679118) is associated with this NPI, valid through August 31, 2028. 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 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.
# Southern Tennessee Internal Medicine - Lawrenceburg · NPI 1417739640
Rural Health organization in Lawrenceburg, Tennessee. Organization record, active in the CMS NPPES registry since October 23, 2023.
## Identity
- **NPI:** 1417739640 (Entity type: Organization)
- **Enumerated:** October 23, 2023
- **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:** 184 PROSSER RD, Lawrenceburg, TN 38464-4233
- **Phone:** (931) 762-5115
## 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); 4 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1417739640/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/1417739640) · Data from the CMS NPPES public registry.