Amg-Southern Tennessee LLC
NPI 1336294222ActiveOrganization· Pediatrics· Winchester, TN
Pediatrics in Winchester, Tennessee, registered in NPPES in January 2007, part of Amg-Southern Tennessee LLC. The authorized official on file is Bill Gracey, Coo.
Overview
| NPI | 1336294222 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Amg-Southern Tennessee LLC |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Jun 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Pediatrics, Pediatric Cardiology | 2080P0202X | — | — |
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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