1. Home
  2. Directory
  3. Tennessee
  4. Coalmont
  5. Nurse Practitioner
  6. NPI Profile

COALMONT CLINIC
NPI 1992966097
Nurse Practitioner - Family in Coalmont, TN

Active since June 20, 2008
68 SOUTH INDUSTRIAL PARK ROAD, COALMONT, TN 37313(931) 692-0010(931) 692-0012 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coalmont Clinic NPPES

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

COALMONT CLINIC (NPI 1992966097) is a healthcare organization registered as a family in Coalmont, Tennessee and active in the NPI registry since June 2008. The organization lists William Gracey, Coo, as its authorized official.

NPPES Registry Identity

NPI1992966097
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAMG-SOUTHERN TENNESSEE LLC
Location Address68 SOUTH INDUSTRIAL PARK ROADCoalmont, TN 37313
Mailing AddressPo Box 68Coalmont, TN 37313-0068 · (931) 692-0010 · Fax (931) 692-0012
Phone(931) 692-0010
Fax(931) 692-0012
Organization SubpartYes
Authorized OfficialWilliam GraceyCoo · (615) 372-8500
Enumeration DateJune 20, 2008
✔ NPI 1992966097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
68 SOUTH INDUSTRIAL PARK ROAD, Coalmont, TN 37313
Open in Google Maps ↗

Other Names 1

Doing Business AsCoalmont 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

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 1992966097. It was assigned to this organization in the NPPES registry on June 20, 2008. The provider is doing business as Coalmont Clinic.

Where is Amg-Southern Tennessee LLC located?

Amg-Southern Tennessee LLC is located at 68 South Industrial Park Road, Coalmont, TN 37313. The listed phone number is (931) 692-0010.

What is Amg-Southern Tennessee LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amg-Southern Tennessee LLC was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.