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

Active since June 15, 2015CLIA Certified · 3 labs
500 W MAIN ST, LIVINGSTON, TN 38570(931) 823-5681(931) 823-8203 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2025, May 28, 2021, Mar 10, 2020 and 1 more (4 updates tracked since 2019).

About Amg - Livingston, Llc NPPES

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

AMG - LIVINGSTON, LLC (NPI 1902287097), doing business as Clay County Family Wellness, is a healthcare organization registered as a nurse practitioner in Livingston, Tennessee and active in the NPI registry since June 2015. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Johnetta Traylor, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902287097
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameAMG - LIVINGSTON, LLC
Location Address500 W MAIN STLivingston, TN 38570-1718
Mailing AddressPo Box 973Livingston, TN 38570-0973 · (931) 823-4016
Phone(931) 823-5681
Fax(931) 823-8203
Organization SubpartNo
Authorized OfficialJohnetta TraylorAdministrator · (502) 596-6063
Enumeration DateJune 15, 2015
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1902287097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
500 W MAIN ST, Livingston, TN 38570
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Other Names 4

Doing Business AsClay County Family Wellness
Doing Business AsOasis Family Wellness
Doing Business AsThe Livingston Clinic
Doing Business AsUpper Cumberland Center For Women

Secondary Practice Locations 3

Location 1110 Doctors DrCelina, TN 38551-5092 · Phone (931) 243-3860 · Fax (931) 243-4607
Location 24120 Bradford Hicks DrLivingston, TN 38570-2213 · Phone (931) 823-5603
Location 38401 Hwy One ElevenByrdstown, TN 38549-6031 · Phone (931) 823-9970 · Fax (931) 823-9006

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amg - Livingston, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Amg - Livingston, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner11
Internal Medicine6
Orthopedic Surgery6
Family Practice4
General Surgery3
Hospitalist2
Obstetrics/Gynecology2
Certified Nurse Midwife (CNM)1
1 other specialty1

Nearest to this location (20)

See all 36
Kelli Carr, APN
Nurse Practitioner
NPI 1245655299
500 W MAIN ST
Livingston, TN 38570
(931) 823-5681
✔ PECOS✔ Accepts MedicareSame address
Michael Cox, M.D.
Internal Medicine
NPI 1356305197
500 W MAIN ST
Livingston, TN 38570
(931) 823-5681
✔ PECOS✔ Accepts MedicareSame address
Courtney Cummings, MD
Internal Medicine
NPI 1447660493
500 W MAIN ST
Livingston, TN 38570
(931) 823-5681
✔ PECOS✔ Accepts MedicareSame address
Mark Langenberg, M.D.
Internal Medicine
NPI 1891759767
500 W MAIN ST
Livingston, TN 38570
(931) 823-5681
✔ PECOS✔ Accepts MedicareSame address
Martha Moore, M.D.
Family Practice
NPI 1336127513
500 W MAIN ST
Livingston, TN 38570
(931) 823-5681
✔ PECOS✔ Accepts MedicareSame address
Dawn Barlow, MD
Internal Medicine
NPI 1174644538
500 W MAIN ST
Livingston, TN 38570
(931) 823-5681
✔ PECOS✔ Accepts MedicareSame address
Jacinda Delk, FNP-C
Nurse Practitioner
NPI 1093202947
500 W MAIN ST
Livingston, TN 38570
(931) 823-5603
✔ PECOS✔ Accepts MedicareSame address
Andrea Humphrey, M.D.
Family Practice
NPI 1265626105
529 MEDICAL DR
Livingston, TN 38570
(931) 823-9970
✔ PECOS✔ Accepts Medicare0.5 mi
William Sutton, M.D.
Obstetrics/Gynecology
NPI 1437136751
529 MEDICAL DR
Livingston, TN 38570
(931) 823-9970
✔ PECOS✔ Accepts Medicare0.5 mi
Lindy Lynn, CNM
Certified Nurse Midwife (CNM)
NPI 1598002347
700 W MAIN ST
Livingston, TN 38570
(931) 823-9970
✔ PECOS✔ Accepts Medicare0.8 mi
Christopher Nahm, M.D.
Obstetrics/Gynecology
NPI 1982663092
700 W MAIN ST
Livingston, TN 38570
(931) 823-9970
✔ PECOS0.8 mi
Melissa Crumley, FNP
Nurse Practitioner
NPI 1760864854
817 W MAIN ST
Livingston, TN 38570
(931) 219-2091
✔ PECOS✔ Accepts Medicare1.0 mi
Kenneth Colburn, M.D.
Family Practice
NPI 1255331906
4120 BRADFORD HICKS DR
Livingston, TN 38570
(931) 823-5603
✔ PECOS1.0 mi
Joshua Cooper, F.N.P.
Nurse Practitioner
NPI 1477739092
4120 BRADFORD HICKS DR
Livingston, TN 38570
(931) 823-5603
✔ PECOS✔ Accepts Medicare1.0 mi
Greda Cherry, APN
Nurse Practitioner
NPI 1295121697
110 DOCTORS DR
Celina, TN 38551
(931) 243-3860
✔ PECOS✔ Accepts Medicare15 mi
Jessie Copeland, M.D.
Internal Medicine
NPI 1164412474
110 DOCTORS DR
Celina, TN 38551
(931) 243-3860
✔ PECOS✔ Accepts Medicare15 mi
Baron Herford, D.O.
Hospitalist
NPI 1710203955
1 MEDICAL CENTER BLVD
Cookeville, TN 38501
(931) 372-2770
✔ PECOS✔ Accepts Medicare18 mi
Bernadette Hee, M.D.
Pulmonary Disease
NPI 1902839806
145 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-2143
✔ PECOS✔ Accepts Medicare18 mi
Terah Isaacson, M.D.
General Surgery
NPI 1023220316
145 W 4TH ST STE 102
Cookeville, TN 38501
(931) 783-5515
✔ PECOS✔ Accepts Medicare18 mi
Carl Hollmann, MD
Orthopedic Surgery
NPI 1669469722
105 S WILLOW AVE
Cookeville, TN 38501
(931) 526-9518
✔ PECOS19 mi
See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 of Waiver 44D0963738

Amg-Livingston, LLC Dba Clay County Family Wellness · Celina, TN
Active · expires May 31, 2028
CLIA Number44D0963738
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Jessie L. Copeland Jr
Laboratory Phone(931) 243-3860
Laboratory LocationAmg-Livingston, LLC Dba Clay County Family Wellness110 Doctors Drive, Celina, TN 38551
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 44D0316263

Amg- Livingston, LLC Dba The Livingston Clinic · Livingston, TN
Active · expires May 4, 2028
CLIA Number44D0316263
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorDr. Michael T. Cox
Laboratory Phone(931) 823-4016
Laboratory LocationAmg- Livingston, LLC Dba The Livingston Clinic500 West Main Street, Livingston, TN 38570
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0687909

Amg-Livingston, LLC Dba Oasis Family Wellness · Livingston, TN
Active · expires Sep 14, 2027
CLIA Number44D0687909
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorDr. Jon O. Humphrey
Laboratory Phone(931) 823-5603
Laboratory LocationAmg-Livingston, LLC Dba Oasis Family Wellness4120 Bradford Hicks Drive, Livingston, TN 38570
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.

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 - Livingston, LLC's NPI number?

The NPI number for Amg - Livingston, LLC is 1902287097. It was assigned to this organization in the NPPES registry on June 15, 2015. The provider is doing business as Clay County Family Wellness, Oasis Family Wellness, The Livingston Clinic and Upper Cumberland Center for Women.

Where is Amg - Livingston, LLC located?

Amg - Livingston, LLC is located at 500 W Main St, Livingston, TN 38570. The listed phone number is (931) 823-5681.

What is Amg - Livingston, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amg - Livingston, LLC enrolled in Medicare?

Yes. Amg - Livingston, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amg - Livingston, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 9 Medicare specialties reassign their Medicare billing to Amg - Livingston, 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 (11), Internal Medicine (6) and Orthopedic Surgery (6). Of these, 7 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Amg - Livingston, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Amg - Livingston, LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.