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

NPI Status: Active since October 23, 2023

Contact Information

184 PROSSER RD
LAWRENCEBURG, TN
ZIP 38464
Phone: (931) 762-5115

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 44D2311939
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-30-2026

About SOUTHERN TENNESSEE INTERNAL MEDICINE - LAWRENCEBURG

This page provides the complete NPI Profile along with additional information for Southern Tennessee Internal Medicine - Lawrenceburg, a primary care provider established in Lawrenceburg, Tennessee operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1417739640 assigned on October 2023. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Southern Tennessee Internal Medicine - Lawrenceburg. The authorized official of this NPI record is Charlotte Lawrence (Secretary)

NPI
1417739640
Provider Legal Name
AMG-CROCKETT, LLC
Other Organization Name
SOUTHERN TENNESSEE INTERNAL MEDICINE - LAWRENCEBURG
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
184 PROSSER RD LAWRENCEBURG, TN 38464
Location Phone
(931) 762-5115
Mailing Address
330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
Mailing Phone
(615) 920-7000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2023
Last Update Date
09-12-2024
Code Navigator

A primary care provider (PCP) like Southern Tennessee Internal Medicine - Lawrenceburg sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLOTTE LAWRENCE

Authorized Official Title
SECRETARY
Authorized Official Phone
(615) 920-7000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2311939
Facility Type
Physician Office
Certificate Effective Date
October 01, 2024
Certificate Expiration Date
September 30, 2026
Laboratory Director
DR. SHELDON HARIGEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Tennessee Internal Medicine - Lawrenceburg to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417739640, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 1 + 4 + 3 + 1 + 8 + 6 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1417739640.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417739640, enumerated as an "organization" on October 23, 2023.

The provider is located at 184 PROSSER RD LAWRENCEBURG, TN 38464 and the phone number is (931) 762-5115.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.