Amg-Southern Tennessee LLC
NPI 1164789467ActiveOrganization· General Practice· Winchester, TN
General Practice in Winchester, Tennessee, registered in NPPES in April 2012. The authorized official on file is Charlotte Lawrence, Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164789467 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2012 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Aug 19, 2025 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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