NPIMap

Organization Active NPI

Amg - Livingston, LLC

  • Hospitalist Physician
  • Livingston, TN
National Provider Identifier
1134581747
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
AMG - LIVINGSTON, LLC
Practice address
315 Oak St
Livingston, TN 38570-1728
Phone
(931) 403-1197
Fax
(931) 403-2615
NPI assigned
Mar 23, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kathy Teague
Title
Secretary
Phone
(615) 920-7000

Other NPIs on the same Medicare enrollment 7

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

Corporate family (same tax ID) 2

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

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031120000923 TN Part B Supplier - Clinic/Group Practice 1052225760 Receives reassigned benefits from 36 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cookeville, TN; Livingston, TN; Celina, TN; Byrdstown, TN

National Provider Directory

National Provider Directory
Tax ID family
Amg-Livingston LLC (3 organizations share this tax ID)

Locations

521 Medical Dr
Ste A
Livingston, TN 38570
Phone (931) 403-6093

310 Oak St
#B
Livingston, TN 38570
Phone (931) 403-5175

506 W Main St
Livingston, TN 38570
Phone (931) 823-2663

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

315 Oak St
Livingston, TN 38570-1728

Mailing address

PO Box 346
Livingston, TN 38570-0346
Phone (931) 403-1197

Other names 1

NPPES NPI Registry
  • Livingston Regional Hospitalist Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2019.

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1134581747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385700346",
            "telephone_number": "931-403-1197",
            "fax_number": "931-403-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OAK ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701728",
            "telephone_number": "931-403-1197",
            "fax_number": "931-403-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG - LIVINGSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston Regional Hospitalist Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Livingston Regional Hospitalist Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.