Amg Crockett LLC

Amg Crockett LLC is a healthcare organization registered as Family Medicine Physician in Loretto, TN, holding Type 2 (organization) NPI 1659514776 since 2009. The authorized official on file is Michael Clark, President.

✓ Active NPI ✓ Valid NPI checksum

NPI	1659514776
Entity type	Organization (Type 2)
Legal business name	Amg Crockett LLC
Other name	<Unavail>
Practice address	106 S MILITARY AVE, Loretto, TN, 38469
Phone	9318534622
Fax	9318534621
Enumeration date	2009-04-20
Last updated in NPPES	2009-04-20

Authorized official

Name	Michael Clark
Title	President
Phone	6153728500

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207Q00000X	Family Medicine Physician	Primary	—	—

Copy-ready billing details

Provider: Amg Crockett LLC
NPI: 1659514776
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 106 S MILITARY AVE, Loretto, TN, 38469

Verify this record

Cross-check NPI 1659514776 against the authoritative CMS record: view Amg Crockett LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Amg Crockett LLC located?

The practice location on file with NPPES is in Loretto, TN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-04-20. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-04-20.