AMG-CROCKETT, LLC – NPI #1215144936
Urology

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.

AMG-CROCKETT, LLC is an urologist located in LAWRENCEBURG, TN. NPPES has assigned the NPI number 1215144936 to AMG-CROCKETT, LLC on May 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMG-CROCKETT, LLC below.

NPI Profile for
AMG-CROCKETT, LLC

NPI Number
1215144936
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMG-CROCKETT, LLC
Primary location
US HIGHWAY 43 SOUTH
LAWRENCEBURG, TN 38464
Phone: (931) 762-6571 Fax: (931) 766-3339
Mailing address
PO BOX 847
US HIGHWAY 43 SOUTH
LAWRENCEBURG, TN 38464-0847
Phone: (931) 762-6571 Fax: (931) 766-3339
Organization Subpart
No
Authorized Official
JONE KOFORD
DIVISION PRESIDENT
Phone: (615) 565-1506
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.