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Amg -Southern Tennessee LLC

NPI 1154373512ActiveOrganization· General Practice· Winchester, TN

General Practice in Winchester, Tennessee, registered in NPPES in May 2006, part of Amg- Southern Tennessee LLC. The authorized official on file is William Gracey, Coo.

Overview

NPI1154373512
StatusActive
Entity typeOrganization (subpart)
Parent organizationAmg- Southern Tennessee LLC
NPI issuedMay 16, 2006
Last updated in NPPESJun 17, 2008

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in Winchester

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