Alm & Agm LLC
Organization Active NPI Rural Health Clinic/Center · Linden, TN
NPI 1689322844 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1689322844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ALM & AGM LLC
- Practice address
- 62 Medical Dr
Linden, TN 37096-3327 - Phone
- (931) 589-2600
- Fax
- (931) 589-2602
- NPI assigned
- Mar 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Justin Drew Marshall
- Title
- President
- Phone
- (615) 739-2575
Owners & managing parties with NPI records 1
-
Elizabeth A Paschall, APN
Practitioners 13
-
Stephen L Averett, M.D.
-
Kerri Garrison, APRN
-
Connie Griffin, NP
-
Kenisha Renea Hester, NP-C
-
Elizabeth A Paschall, APN
-
Andrea Marie Dewinter, FNP-BC
-
Grady Ross Rowe, PA
-
Mary Katelyn Pratt, NP-C
-
Debra Susan Nash, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Rural health clinic certification: CCN 883919
- Legal name
- ALM & AGM LLC
- Doing business as
- THE WALK IN MEDICAL CLINIC OF LINDEN
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 15, 2022
- Last certification
- Sep 15, 2022
- Ownership / control type
- 1A
- Organization structure
- LLC · Proprietary
- Enrollment address
- 847 Squirrel Hollow Dr
Linden, TN 37096-6479
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Justin Marshall |
5% Or Greater Direct Ownership Interest | Feb 23, 2022 | 100% |
| Corporate Officer |
Feb 23, 2022 | 100% | |
| Operational/Managerial Control |
Feb 23, 2022 | 100% | |
| Elizabeth a Paschall |
Corporate Director |
Sep 15, 2022 | |
| W-2 Managing Employee |
Sep 15, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220504001079 | TN | Part a Provider - Rural Health Clinic | 6608263090 | Practice locations: Linden, TN |
| O20221110002273 | TN | Part B Supplier - Clinic/Group Practice | 6608263090 |
Receives reassigned benefits from 9 practitioners Practice locations: Linden, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Nurse Practitioner |
363L00000X | |||
| Acute Care Nurse Practitioner |
363LA2100X | |||
| Primary Care Nurse Practitioner |
363LP2300X |
Addresses
Primary practice location
62 Medical Dr
Linden, TN 37096-3327
Mailing address
PO Box 56
Linden, TN 37096-0056
Phone (931) 589-2600
Other names
- The Walk In Medical Clinic of Linden
Other providers in Linden, TN
- Arden Hospice of Southern Tennessee, LLC
- Angela F Arnold
- Ashley L. Hayes, D.D.S., Inc.
- At Home Medical Supply of TN
- Averett Medical Group LLC
All providers in Linden, TN · Rural Health Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.