NPIMap

Organization Active NPI

Amg-Crockett, LLC

Doing business as Women's Health Clinic

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
National Provider Identifier
1891580858
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
AMG-CROCKETT, LLC
Doing business as
Women's Health Clinic
Practice address
1611 S Locust Ave Ste 200
Lawrenceburg, TN 38464-4055
Phone
(931) 766-4560
NPI assigned
Apr 10, 2025
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Lisa Bradford
Title
Revenue Cycle Manager
Phone
(931) 308-5066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1611 S Locust Ave Ste 200
Lawrenceburg, TN 38464-4055

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (931) 967-1333

Other names 1

  • Women's Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071017000313 TN Part B Supplier - Clinic/Group Practice 4789770199 Receives reassigned benefits from 92 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lawrenceburg, TN; Winchester, TN; Pulaski, TN; Mt Pleasant, TN; Loretto, TN; Decherd, TN
O20250718003283 TN Part A Provider - Rural Health Clinic 4789770199 Practice locations: Lawrenceburg, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891580858. Details of each certification follow.

Rural health clinic certification: CCN 888946

Legal name
AMG-CROCKETT, LLC
Doing business as
WOMEN'S HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 19, 2025
Last certification
Dec 19, 2025
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
1611 S Locust Ave
Ste 200
Lawrenceburg, TN 38464-4055

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

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.

Locations

1605 S Locust Ave
Ste 103
Lawrenceburg, TN 38464
Phone (931) 762-4551

1605 S Locust Ave
Ste 201
Lawrenceburg, TN 38464
Phone (931) 766-3035

1611 S Locust Ave
Ste 200
Lawrenceburg, TN 38464
Phone (931) 766-4560

2019 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-1800

106 S Military St
#B
Loretto, TN 38469
Phone (931) 853-4622

4955 Highway 43 N
#D
Mt Pleasant, TN 38474
Phone (931) 964-0849

1255 E College St
#2A
Pulaski, TN 38478
Phone (931) 766-7994

1255 E College St
Ste 400
Pulaski, TN 38478
Phone (931) 766-0077

1275 E College St
Ste 6
Pulaski, TN 38478
Phone (931) 363-4282

206 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-0668

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2025 100%
Pamela Kane Individual Corporate OfficerVice President Apr 1, 2025
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2025 100%
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2025 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2025 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2025 100%
Charlotte E Lawrence Individual Corporate OfficerSecretary Apr 1, 2025
Elliott Brown Individual Corporate OfficerSenior Vice President and Treasurer Apr 2, 2026
Klaus Michael Boel Individual Corporate OfficerPresident Apr 1, 2025
W-2 Managing EmployeePresident Apr 1, 2025
Christopher J Monte Individual Corporate OfficerVice President Apr 1, 2025
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2025 100%

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Amg-Crockett LLC

    dba Summertown Medical Center

    • Rural Health Clinic/Center
    • Mt Pleasant, TN
    • NPI 1255069639

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba First Choice Health Lawrenceburg

    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1023840998

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba Southern Tennessee Internal Medicine - Lawrenceburg

    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1417739640

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba First Choice Health Loretto

    • Rural Health Clinic/Center
    • Loretto, TN
    • NPI 1811543929

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Family Health - Pulaski

    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1063294296

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Primary Care Eastside

    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1144052002

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Primary Care Lynnville

    • Rural Health Clinic/Center
    • Lynnville, TN
    • NPI 1407688369

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Primary Care Ardmore

    • Rural Health Clinic/Center
    • Ardmore, TN
    • NPI 1558117028

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC

    dba First Choice Health - Pulaski

    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1568190551

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Primary Care Cornersville

    • Rural Health Clinic/Center
    • Lewisburg, TN
    • NPI 1881426740

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Southern Tennessee LLC

    dba Highpoint Family Wellness - Winchester with Ascension Saint Thomas

    • Rural Health Clinic/Center
    • Winchester, TN
    • NPI 1063140051

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Southern Tennessee LLC

    dba Highpoint Family Wellness - Blackwell with Ascension Saint Thomas

    • Rural Health Clinic/Center
    • Tullahoma, TN
    • NPI 1174365803

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
View all 193

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1891580858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "931-967-1333",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S LOCUST AVE STE 200",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644055",
            "telephone_number": "931-766-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG-CROCKETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "931-308-5066"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.