NPIMap

Organization Active NPI

Amg - Livingston, LLC

Doing business as Livingston Regional Hospitalist Group

  • 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
Doing business as
Livingston Regional Hospitalist Group
Practice address
315 Oak St
Livingston, TN 38570-1728
Phone
(931) 403-1197
Fax
(931) 403-2615
NPI assigned
Mar 23, 2016
Last updated
Nov 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

  • Livingston Regional Hospitalist Group Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
Kenneth Beaty MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

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

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "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.