AMG - LIVINGSTON, LLC
NPI 1902287097
Nurse Practitioner in Livingston, TN

NPI Status: Active since June 15, 2015

Contact Information

500 W MAIN ST
LIVINGSTON, TN
ZIP 38570
Phone: (931) 823-5681
Fax: (931) 823-8203

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 44D0316263
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-04-2028

About AMG - LIVINGSTON, LLC

This page provides the complete NPI Profile along with additional information for Amg - Livingston, Llc, a provider established in Livingston, Tennessee operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1902287097 assigned on June 2015. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Amg - Livingston, 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 Johnetta Traylor (Administrator)

NPI
1902287097
Provider Legal Name
AMG - LIVINGSTON, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
500 W MAIN ST LIVINGSTON, TN 38570
Location Phone
(931) 823-5681
Location Fax
(931) 823-8203
Mailing Address
PO BOX 973 LIVINGSTON, TN 38570
Mailing Phone
(931) 823-4016
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2015
Last Update Date
09-19-2025
Code Navigator

A nurse practitioner (NP) like Amg - Livingston, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 4120 Bradford Hicks Dr
    Livingston, TN 38570
    (931) 823-5603
  • 110 Doctors Dr
    Celina, TN 38551
    (931) 243-3860
  • 8401 Hwy One Eleven
    Byrdstown, TN 38549
    (931) 823-9970

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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

 
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
5363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

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

JOHNETTA TRAYLOR

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(502) 596-6063

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
44D0316263
Facility Type
Physician Office
Certificate Effective Date
May 05, 2026
Certificate Expiration Date
May 04, 2028
Laboratory Director
DR. MICHAEL T. COX
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Amg - Livingston, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for AMG - LIVINGSTON, LLC

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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 1902287097, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 4 + 8 + 1 + 4 + 0 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1902287097.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Internal Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Family Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Family Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Internal Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Internal Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Internal Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Internal Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Nurse Practitioner
500 W MAIN ST
LIVINGSTON, TN 38570
Family Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Internal Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Internal Medicine
500 W MAIN ST
LIVINGSTON, TN 38570
Nurse Practitioner (Family)
500 W MAIN ST
LIVINGSTON, TN 38570
Pediatrics
500 W MAIN ST
LIVINGSTON, TN 38570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902287097, enumerated as an "organization" on June 15, 2015.

The provider is located at 500 W MAIN ST LIVINGSTON, TN 38570 and the phone number is (931) 823-5681.

Nurse Practitioner with taxonomy code 363L00000X.