AMG - SOUTHERN TENNESSEE, LLC
NPI 1770968489
Urology in Winchester, TN

NPI Status: Active since July 23, 2015

Contact Information

155 HOSPITAL RD
SUITE H
WINCHESTER, TN
ZIP 37398
Phone: (931) 968-2525
Fax: (931) 968-2527

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  • Organization
  • Urology
  • CLIA Number: 44D2033750
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-01-2026

About AMG - SOUTHERN TENNESSEE, LLC

This page provides the complete NPI Profile along with additional information for Amg - Southern Tennessee, Llc, a provider established in Winchester, Tennessee operating as a Urology. The healthcare provider is registered in the NPI registry with number 1770968489 assigned on July 2015. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated one year ago. Amg - Southern Tennessee, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Jess L Judy (President)

NPI
1770968489
Provider Legal Name
AMG - SOUTHERN TENNESSEE, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
155 HOSPITAL RD SUITE H WINCHESTER, TN 37398
Location Phone
(931) 968-2525
Location Fax
(931) 968-2527
Mailing Address
PO BOX 399 WINCHESTER, TN 37398
Mailing Phone
(931) 968-2525
Mailing Fax
(931) 968-2527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2015
Last Update Date
08-27-2025
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

JESS L JUDY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 920-7212

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
44D2033750
Facility Type
Physician Office
Certificate Effective Date
July 02, 2024
Certificate Expiration Date
July 01, 2026
Laboratory Director
MICHAEL STRICKLAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Amg - Southern Tennessee, Llc 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 1770968489, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 1 + 8 + 6 + 1 + 6 + 4 + 1 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1770968489.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Podiatrist
155 HOSPITAL RD, STE I
WINCHESTER, TN 37398
Pediatrics
155 HOSPITAL RD, SUITE E
WINCHESTER, TN 37398
General Practice
155 HOSPITAL RD, SUITE B
WINCHESTER, TN 37398
Pediatrics
155 HOSPITAL RD, SUITE E
WINCHESTER, TN 37398
General Practice
155 HOSPITAL RD, SUITE B
WINCHESTER, TN 37398
Family Medicine
155 HOSPITAL RD, STE #A
WINCHESTER, TN 37398
Family Medicine
155 HOSPITAL RD, STE #A
WINCHESTER, TN 37398
Pediatrics
155 HOSPITAL RD, SUITE E
WINCHESTER, TN 37398
Internal Medicine (Rheumatology)
155 HOSPITAL RD, SUITE H
WINCHESTER, TN 37398
Durable Medical Equipment & Medical Supplies
155 HOSPITAL RD, SUITE I
WINCHESTER, TN 37398
Internal Medicine (Cardiovascular Disease)
155 HOSPITAL RD, STE. G
WINCHESTER, TN 37398
Urology
155 HOSPITAL RD
WINCHESTER, TN 37398
Internal Medicine (Pulmonary Disease)
155 HOSPITAL RD, SUITE C
WINCHESTER, TN 37398
Surgery
155 HOSPITAL RD, SUITE D
WINCHESTER, TN 37398
Nurse Practitioner (Family)
155 HOSPITAL RD, SUITE J
WINCHESTER, TN 37398
Internal Medicine (Hematology & Oncology)
155 HOSPITAL RD
WINCHESTER, TN 37398
Surgery
155 HOSPITAL RD, SUITE D
WINCHESTER, TN 37398
Nurse Practitioner (Family)
155 HOSPITAL RD
WINCHESTER, TN 37398
Internal Medicine (Nephrology)
155 HOSPITAL RD, SUITE H
WINCHESTER, TN 37398
Podiatrist
155 HOSPITAL RD, SUITE D
WINCHESTER, TN 37398

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770968489, enumerated as an "organization" on July 23, 2015.

The provider is located at 155 HOSPITAL RD SUITE H WINCHESTER, TN 37398 and the phone number is (931) 968-2525.

Urology with taxonomy code 208800000X.