Individual provider Active NPI

Chaley Elizabeth Brown, NP

  • Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1629944657
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
40057 Issued in TN
Practice address
1605 S Locust Ave Ste 200
Lawrenceburg, TN 38464-4053
Phone
(931) 762-4400
NPI assigned
Oct 16, 2025
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 40057 TN Primary

Addresses

Primary practice location

1605 S Locust Ave Ste 200
Lawrenceburg, TN 38464-4053

Mailing address

1605 S Locust Ave Ste 200
Lawrenceburg, TN 38464-4053

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
I20251104003332 TN Practitioner - Nurse Practitioner 4385134840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
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)

1605 S Locust Ave
Suite 200
Lawrenceburg, TN 38464-4053
Phone (931) 766-4560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
40057TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Crockett, LLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Amg-Crockett, LLC CurrentSince Dec 1, 2025 Accepting new patients
Amg Crockett LLC Past Accepting new patients

Locations

1605 S Locust Ave
Ste 200
Lawrenceburg, TN 38464
Phone (931) 766-4560

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

Interoperability endpoints

  • Direct secure messaging: chaley.brown.1@19363.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1629944657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S LOCUST AVE STE 200",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S LOCUST AVE STE 200",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644053",
            "telephone_number": "931-762-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHALEY",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "40057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.