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Amg Crockett LLC

Family Medicine Physician in Loretto, TN · enumerated 2009 · authorized official Michael Clark, President.

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

National Provider Identifier

1659514776

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Registry record

Entity type Organization (Type 2)
Legal business name Amg Crockett LLC
Other name <Unavail>
Practice address 106 S Military Ave, Loretto, TN, 38469
Fax (931) 853-4621
Enumeration date Apr 20, 2009
Last updated in NPPES Apr 20, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Michael Clark
Title President

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

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 2026-07-13. Provider record last updated 2009-04-20.