OrganizationActive
Amg-Southern Tennessee LLC
NPI 1093926404 · Surgery Physician · Winchester, TN
Amg-Southern Tennessee LLC is a Surgery Physician organization in Winchester, TN (NPI 1093926404).
Provider details
- NPI number
- 1093926404
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Amg-Southern Tennessee LLC
- Organization subpart
- Yes
- Authorized official
- William Gracecy, Coo(615) 372-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
83 Memorial Dr
Winchester, TN 37398-2401
Phone: (931) 967-3966
Fax: (931) 962-0373
Street-level locationGet directions
Mailing address
83 Memorial Dr
Winchester, TN 37398-2401
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2008-04-20
Frequently asked questions
- What is Amg-Southern Tennessee LLC's NPI number?
- Amg-Southern Tennessee LLC's National Provider Identifier (NPI) is 1093926404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amg-Southern Tennessee LLC?
- Amg-Southern Tennessee LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Amg-Southern Tennessee LLC located?
- Amg-Southern Tennessee LLC's practice location on file with NPPES is 83 Memorial Dr, Winchester, TN 37398-2401.
- What is Amg-Southern Tennessee LLC's phone number?
- The practice phone number listed in the NPPES registry for Amg-Southern Tennessee LLC is (931) 967-3966.
- Who is the authorized official for Amg-Southern Tennessee LLC?
- The authorized official listed on Amg-Southern Tennessee LLC's NPPES record is William Gracecy, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amg-Southern Tennessee LLC's NPI active?
- Yes — Amg-Southern Tennessee LLC's NPI (1093926404) is active in the NPPES registry as of the last update on 2008-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.