Organization Active NPI

Amg-Crockett, LLC

Doing business as First Choice Health Lawrenceburg

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
National Provider Identifier
1023840998
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
AMG-CROCKETT, LLC
Doing business as
First Choice Health Lawrenceburg
Practice address
2121 N Locust Ave Ste 1
Lawrenceburg, TN 38464-4454
Phone
(931) 762-1800
Fax
(931) 762-9155
NPI assigned
Aug 19, 2024
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Bradford
Title
Revenue Cycle Manager
Phone
(931) 308-5066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2121 N Locust Ave Ste 1
Lawrenceburg, TN 38464-4454

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (931) 967-1333

Other names 1

  • First Choice Health Lawrenceburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071017000313 TN Part B Supplier - Clinic/Group Practice 4789770199 Receives reassigned benefits from 92 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lawrenceburg, TN; Winchester, TN; Pulaski, TN; Mt Pleasant, TN; Loretto, TN; Decherd, TN
O20240912000491 TN Part A Provider - Rural Health Clinic 4789770199 Practice locations: Lawrenceburg, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023840998. Details of each certification follow.

Rural health clinic certification: CCN 888909

Legal name
AMG-CROCKETT, LLC
Doing business as
FIRST CHOICE HEALTH LAWRENCEBURG
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 12, 2024
Last certification
Nov 12, 2024
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
2019 N Locust Ave
Lawrenceburg, TN 38464-2337

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Amg-Crockett LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Pamela Kane Individual Corporate OfficerVice President Aug 1, 2024
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Laura C Hinson Individual Corporate OfficerChief Financial Officer Mar 12, 2025
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Charlotte E Lawrence Individual Corporate OfficerSecretary Aug 1, 2024
W-2 Managing Employee Aug 1, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Aug 1, 2024
Christopher J Monte Individual Corporate OfficerVice President Aug 1, 2024
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1023840998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "931-967-1333",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N LOCUST AVE STE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644454",
            "telephone_number": "931-762-1800",
            "fax_number": "931-762-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG-CROCKETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "931-308-5066"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Health Lawrenceburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.