DBA: ALPHA OMEGA FAMILY MEDICINE
NPI 1457690422
Family Medicine in Pulaski, TN
About Dba: Alpha Omega Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DBA: ALPHA OMEGA FAMILY MEDICINE (NPI 1457690422) is a healthcare organization registered as a family medicine in Pulaski, Tennessee and active in the NPI registry since February 2013. The organization lists Jess N Judy, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dba: Alpha Omega Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
53Medicare enrollment records show 53 clinicians reassign Medicare billing to Dba: Alpha Omega Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 53Pulaski, TN 38478
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hillside LLC's NPI number?
The NPI number for Amg Hillside LLC is 1457690422. It was assigned to this organization in the NPPES registry on February 11, 2013. The provider is doing business as Dba: Alpha Omega Family Medicine.
Where is Amg Hillside LLC located?
Amg Hillside LLC is located at 1119 E College St Suite 3, Pulaski, TN 38478. The listed phone number is (931) 424-8881.
What is Amg Hillside LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Amg Hillside LLC enrolled in Medicare?
Yes. Amg Hillside LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amg Hillside LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 11 Medicare specialties reassign their Medicare billing to Amg Hillside 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 (26), Family Practice (8) and Internal Medicine (3). Of these, 2 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Amg Hillside LLC was last updated on February 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dba: Alpha Omega Family Medicine · NPI 1457690422
Family Medicine organization in Pulaski, Tennessee. Organization record, active in the CMS NPPES registry since February 11, 2013.
## Identity
- **NPI:** 1457690422 (Entity type: Organization)
- **Enumerated:** February 11, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Amg Hillside Llc
- **Organization subpart:** No
- **Authorized official:** Jess Judy, PRESIDENT
## Practice location
- **Address:** 1119 E COLLEGE ST, SUITE 3, Pulaski, TN 38478-4563
- **Phone:** (931) 424-8881 · **Fax:** (931) 424-5385
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 53 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (26), Family Practice (8), Internal Medicine (3); 2 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1457690422/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1457690422) · Data from the CMS NPPES public registry.