County of Macon Office of County Executive

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF MACON OFFICE OF COUNTY EXECUTIVE

Practice address

30 Weldon Dr.
Lafayette, TN 37083

Phone

(615) 666-2324

Fax

(615) 666-7699

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Spencer Tuck

Title

Director

Phone

(615) 666-2324

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Macon County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1285745356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WELDON DR.",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "37083",
            "telephone_number": "615-666-2324",
            "fax_number": "615-666-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WELDON DR.",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "37083",
            "telephone_number": "615-666-2324",
            "fax_number": "615-666-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MACON OFFICE OF COUNTY EXECUTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "TUCK",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-666-2324"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "5601",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3524419",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macon County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Comprehensive Rehabilitation of Lafayette Inc
• John Steven Conger
• Bailey Cook
• Sagan Lasha Cook, LPN
• Lynn J Cothron, DMD
• Jaclyn Crawford, PHARMD
• Tonya D Creasy, PHYSICAL THERAPIST
• Ashley Crowder Pedigo, LPC-MHSP
• Kathrine Ann Davis, PHYSICAL THERAPIST
• Sierra Brooke Day, DPT

• All providers in Lafayette, TN
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.