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MOUNTAIN MEDICAL CLINIC
NPI 1669753042
Licensed Practical Nurse in Monteagle, TN

Active since August 30, 2011CLIA 44D2028900 · Microscopy
21 1ST STREET, MONTEAGLE, TN 37356(931) 924-8000(931) 924-8001 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2021, Oct 7, 2021 (2 updates tracked since 2021).

About Mountain Medical Clinic NPPES

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

MOUNTAIN MEDICAL CLINIC (NPI 1669753042) is a healthcare organization registered as a licensed practical nurse in Monteagle, Tennessee and active in the NPI registry since August 2011. The organization holds a CLIA Microscopy certificate valid through August 25, 2027 and lists Kathy Teague, Avp, Secretary, as its authorized official.

NPPES Registry Identity

NPI1669753042
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameAMG-SOUTHERN TENNESSEE LLC
Location Address21 1ST STREETMonteagle, TN 37356
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Phone(931) 924-8000
Fax(931) 924-8001
Organization SubpartNo
Authorized OfficialKathy TeagueAvp, Secretary · (615) 920-7000
Enumeration DateAugust 30, 2011
Last NPPES UpdateOctober 11, 20212 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1669753042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
21 1ST STREET, Monteagle, TN 37356
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Other Names 1

Doing Business AsMountain Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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) 44D2028900

Amg-Southern Tennessee, LLC Dba Highpoint Family Wellness-Monteagle W/ Ascension Saint Thomas · Monteagle, TN
Active · expires Aug 25, 2027
CLIA Number44D2028900
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorDr. Michelle S. Val
Laboratory Phone(931) 924-8000
Laboratory LocationAmg-Southern Tennessee, LLC Dba Highpoint Family Wellness-Monteagle W/ Ascension Saint Thomas21 1st Street, Monteagle, TN 37356
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 2

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

MRS. ANNE PORCHER BURNETT NP-C
Nurse Practitioner (Family)
21 1ST STREET, MOUNTAIN MEDICAL CLINIC
MONTEAGLE, TN 37356
Grundy County (931) 924-8000
AMG-SOUTHERN TENNESSEE LLC
Clinic/Center (Rural Health)
21 1ST STREET
MONTEAGLE, TN 37356
Grundy County (931) 598-5691

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-Southern Tennessee LLC's NPI number?

The NPI number for Amg-Southern Tennessee LLC is 1669753042. It was assigned to this organization in the NPPES registry on August 30, 2011. The provider is doing business as Mountain Medical Clinic.

Where is Amg-Southern Tennessee LLC located?

Amg-Southern Tennessee LLC is located at 21 1st Street, Monteagle, TN 37356. The listed phone number is (931) 924-8000.

What is Amg-Southern Tennessee LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Does Amg-Southern Tennessee LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2028900) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Amg-Southern Tennessee LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Amg-Southern Tennessee 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-Southern Tennessee LLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.