Amg Crockett LLC
NPI 1063802767ActiveOrganization· Nurse Practitioner, Family· Lawrenceburg, TN
Nurse Practitioner, Family in Lawrenceburg, Tennessee, registered in NPPES in February 2015. The authorized official on file is Casey Willis, Manager.
Overview
| NPI | 1063802767 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2015 |
| Last updated in NPPES | Apr 28, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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