AMG-SOUTHERN TENNESSEE LLC NPI 1992966097

NPI Information

  • NPI: 1992966097
  • Provider Name: AMG-SOUTHERN TENNESSEE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: COALMONT CLINIC
  • Address: 68 SOUTH INDUSTRIAL PARK ROAD
    COALMONT, TN
    ZIP 37313
  • Phone: (931) 692-0010

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NPI Details

AMG-SOUTHERN TENNESSEE LLC is a family nurse practitioner in Coalmont, TN. AMG-SOUTHERN TENNESSEE LLC NPI is 1992966097. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coalmont Clinic.

The provider's business location address is:

68 SOUTH INDUSTRIAL PARK ROAD
COALMONT, TN
ZIP 37313
Phone: (931) 692-0010
Fax: (931) 692-0012

The provider's authorized official is William Gracey .
The authorized official title is Coo and has the following contact phone number (615) 372-8500.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 6/20/2008.

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
1363LF0000XNurse PractitionerFamilyYes

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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