NPIMap

Organization Active NPI

Amg-Crockett, LLC

Doing business as First Choice Health

  • Family Medicine Physician
  • Lawrenceburg, TN
National Provider Identifier
1689843153
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMG-CROCKETT, LLC
Doing business as
First Choice Health
Practice address
184 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone
(931) 762-1800
Fax
(931) 762-9155
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Jone Law Koford
Title
Division President
Phone
(615) 372-8503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

184 Prosser Rd
Lawrenceburg, TN 38464-4233

Mailing address

PO Box 847
US Highway 43 South
Lawrenceburg, TN 38464-0847
Phone (931) 762-6571

Other names 1

  • FIRST CHOICE HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amg-Crockett LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1689843153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "address_2": "US HIGHWAY 43 SOUTH",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384640847",
            "telephone_number": "931-762-6571",
            "fax_number": "931-766-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PROSSER RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644233",
            "telephone_number": "931-762-1800",
            "fax_number": "931-762-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG-CROCKETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "KOFORD",
        "authorized_official_first_name": "JONE",
        "authorized_official_middle_name": "LAW",
        "authorized_official_title_or_position": "DIVISION PRESIDENT",
        "authorized_official_telephone_number": "615-372-8503"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST CHOICE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.