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SOUTHERN TENNESSEE PRIMARY CARE
NPI 1952780454
Family Medicine in Lawrenceburg, TN

Active since May 29, 2015CLIA 44D2301922 · Waiver
1009 N LOCUST AVE, LAWRENCEBURG, TN 38464(931) 762-0531(931) 762-0998 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Tennessee Primary Care NPPES

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

SOUTHERN TENNESSEE PRIMARY CARE (NPI 1952780454) is a healthcare organization registered as a family medicine in Lawrenceburg, Tennessee and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Casey Willis, Manager, as its authorized official.

NPPES Registry Identity

NPI1952780454
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAMG CROCKETT LLC
Location Address1009 N LOCUST AVELawrenceburg, TN 38464-2746
Mailing Address1009 N Locust AveLawrenceburg, TN 38464-2746 · (931) 762-0531 · Fax (931) 762-0998
Phone(931) 762-0531
Fax(931) 762-0998
Organization SubpartNo
Authorized OfficialCasey WillisManager · (931) 766-4574
Enumeration DateMay 29, 2015
✔ NPI 1952780454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1009 N LOCUST AVE, Lawrenceburg, TN 38464
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Other Names 1

Doing Business AsSouthern Tennessee Primary Care

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

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 of Waiver 44D2301922

Southern Tennessee Primary Care Lawrenceburg · Lawrenceburg, TN
Active · expires Apr 2, 2028
CLIA Number44D2301922
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorJohn Dawson
Laboratory Phone(931) 903-2410
Laboratory LocationSouthern Tennessee Primary Care Lawrenceburg1329 S Locust Ave, Lawrenceburg, TN 38464
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

CLAYTON D WILSON M.D.
Family Medicine
1009 N LOCUST AVE, SUITE 1
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-0531
CENTENNIAL PRIMARY CARE LLC
Family Medicine
1009 N LOCUST AVE, SUITE 1
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-0531
CLAYTON D WILSON MD
Family Medicine
1009 N LOCUST AVE, SUITE 1
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-0531
SEVEN SPRINGS AND SPORTS MEDICINE
Orthopaedic Surgery (Sports Medicine)
1009 N LOCUST AVE, STE B
LAWRENCEBURG, TN 38464
Lawrence County (931) 244-7181
SEVEN SPRINGS ORTHOPAEDICS, PC
Orthopaedic Surgery (Sports Medicine)
1009 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (931) 244-7181
PRIVIA MEDICAL GROUP TENNESSEE LLC
Orthopaedic Surgery (Sports Medicine)
1009 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (571) 982-6636
BRANDY KING GOBBELL DPT
Physical Therapist
1009 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (931) 244-7181

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 Crockett LLC's NPI number?

The NPI number for Amg Crockett LLC is 1952780454. It was assigned to this organization in the NPPES registry on May 29, 2015. The provider is doing business as Southern Tennessee Primary Care.

Where is Amg Crockett LLC located?

Amg Crockett LLC is located at 1009 N Locust Ave, Lawrenceburg, TN 38464. The listed phone number is (931) 762-0531.

What is Amg Crockett LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Amg Crockett LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2301922) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amg Crockett LLC was last updated on May 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.