Amg-Southern Tennessee LLC
NPI 1073612578ActiveOrganization· General Practice· Tullahoma, TN
General Practice in Tullahoma, Tennessee, registered in NPPES in September 2006, part of Amg-Southern Tennessee LLC. The authorized official on file is William Gracey, Coo.
Overview
| NPI | 1073612578 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Amg-Southern Tennessee LLC |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | Jun 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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