AMG - LIVINGSTON LLC NPI 1902287097

NPI Information

  • NPI: 1902287097
  • Provider Name: AMG - LIVINGSTON, LLC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 44D0963738
  • Address: 500 W MAIN ST
    LIVINGSTON, TN
    ZIP 38570
  • Phone: (931) 823-5681

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NPI Details

AMG - LIVINGSTON, LLC is a nurse practitioner in Livingston, TN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. AMG - LIVINGSTON, LLC NPI is 1902287097. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

500 W MAIN ST
LIVINGSTON, TN
ZIP 38570-718
Phone: (931) 823-5681
Fax: (931) 823-8203

The provider's authorized official is Johnetta Traylor .
The authorized official title is Administrator and has the following contact phone number (502) 596-6063.

The CLIA number assigned to this NPI record is 44D0963738 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2015 and was last updated on 9/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2207Q00000XFamily MedicineNo
3363LF0000XNurse PractitionerFamilyNo
4207V00000XObstetrics & GynecologyNo
5207QG0300XFamily MedicineGeriatric MedicineNo
6363L00000XNurse PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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