Individual provider Active NPI

Sara Smith, NP-C

  • Family Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1093126450
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000018614 Issued in TN
Practice address
325 Geri St
Suite a
Lawrenceburg, TN 38464-2392
Phone
(931) 762-9797
NPI assigned
May 19, 2014
Last updated
May 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000018614 TN Primary

Addresses

Primary practice location

325 Geri St
Suite a
Lawrenceburg, TN 38464-2392

Mailing address

325 Geri St
Suite a
Lawrenceburg, TN 38464-2392
Phone (931) 762-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912001399 TN Practitioner - Nurse Practitioner 9931328515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Crockett, LLCGroup PAC ID 4789770199, 38 clinicians

Practice addresses (Care Compare)

1611 S Locust Ave
Lawrenceburg, TN 38464-4055
Phone (931) 244-6058

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000018614TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Crockett, LLC Current Accepting new patients
Amg-Crockett, LLC CurrentSince Jun 5, 2022 Accepting new patients
Amg-Crockett, LLC CurrentSince Jun 5, 2022 Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients
Tennessee CVS Pharmacy, L.L.C. PastSince Jul 8, 2014 Accepting new patients

Locations

1611 S Locust Ave
Lawrenceburg, TN 38464
Phone (931) 388-8622

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: pge9869@yourcarecommunity.org
  • Direct secure messaging: sara.smith.1@19363.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1093126450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 GERI ST",
            "address_2": "SUITE A",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642392",
            "telephone_number": "931-762-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GERI ST",
            "address_2": "SUITE A",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642392",
            "telephone_number": "931-762-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000018614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.