Amg - Southern Tennessee, LLC
Organization Active NPI Urology Physician · Winchester, TN
NPI 1770968489 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1770968489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- AMG - SOUTHERN TENNESSEE, LLC
- Practice address
- 155 Hospital Rd
Suite H
Winchester, TN 37398-2494 - Phone
- (931) 968-2525
- Fax
- (931) 968-2527
- NPI assigned
- Jul 23, 2015
- Organization subpart
- No
Authorized official
- Name
- Jess L Judy
- Title
- President
- Phone
- (615) 920-7212
Other NPIs on the same Medicare enrollment 41
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041013001206 | TN | Part B Supplier - Clinic/Group Practice | 5991765943 |
Receives reassigned benefits from 112 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tullahoma, TN; Winchester, TN; Decherd, TN; Estill Springs, TN; Fayetteville, TN; Huntland, TN; Lawrenceburg, TN; Lynchburg, TN… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
155 Hospital Rd
Suite H
Winchester, TN 37398-2494
Mailing address
PO Box 399
Winchester, TN 37398-0399
Phone (931) 968-2525
Other names
- Highpoint Health - Winchester with Ascension Saint Thomas
Other providers in Winchester, TN
- All Points Veterans Outreach Services LLC
- Melissa Kimberly Allen
- Tina Amacher
- Amg - Southern Tennessee LLC
- Amg - Southern Tennessee, LLC
- Amg - Southern Tennessee, LLC
- Amg - Southern Tennessee, LLC
- Amg - Southern Tennessee, LLC
- Amg - Southern Tennessee, LLC
- Amg - Southern Tennessee, LLC
All providers in Winchester, TN · Urology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.