Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Samuel John Crutcher, M.D.

Family Medicine Physician in Lebanon, TN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124150016

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Registry record

Entity type Individual (Type 1)

Name Samuel John Crutcher

Credential M.D.

Sex Male

Practice address 1407 W Baddour Pkwy, Lebanon, TN, 37087

Phone (615) 444-6203

Fax (615) 444-6252

Enumeration date Mar 9, 2007

Last updated in NPPES Jun 18, 2024

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 29024 (SC) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 45549 (TN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
MD45549	Other	TN	LICENSE
29024	Other	SC	LICENSE
290241	Medicaid	SC	-
3035474	Other	TN	UHC
11970229	Other	TN	CAQH
1522977	Medicaid	TN	-
4272184	Other	TN	BCBS
7919136	Other	TN	CIGNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Samuel Crutcher's NPI record?

Cross-check NPI 1124150016 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1124150016 active?

Yes, as of the latest NPPES snapshot, NPI 1124150016 is active (record last updated 2024-06-18).

Other providers at this practice address

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Erin Crisp Medical Physician Assistant · Lebanon, TN NPI 1487610069 George Robertson Internal Medicine Physician · Lebanon, TN NPI 1144288747 Roger Mckinney Family Medicine Physician · Lebanon, TN NPI 1215995972 John Fisk Family Medicine Physician · Lebanon, TN NPI 1790708097 James Reed General Practice Physician · Lebanon, TN NPI 1235145459 Family Medical PC Specialist · Lebanon, TN NPI 1295805794 Bernard Sy Internal Medicine Physician · Lebanon, TN NPI 1174669998 Keith Winfree Nurse Practitioner · Lebanon, TN NPI 1255526380

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-18.