Crockett Medical Clinic Inc
NPI 1104839703 · Rural Health Clinic/Center · Alamo, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crockett Medical Clinic Inc is a Rural Health Clinic/Center organization in Alamo, TN (NPI 1104839703).
Provider details
- NPI number
- 1104839703
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rita Croom, Cfo(731) 696-4670
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2025-08-01
- Certified
- 2025-07-07
Frequently asked questions
- What is Crockett Medical Clinic Inc's NPI number?
- Crockett Medical Clinic Inc's National Provider Identifier (NPI) is 1104839703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crockett Medical Clinic Inc?
- Crockett Medical Clinic Inc is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Crockett Medical Clinic Inc located?
- Crockett Medical Clinic Inc's practice location on file with NPPES is 58 S. Bells St, Alamo, TN 38001.
- What is Crockett Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Crockett Medical Clinic Inc is (731) 696-5401.
- Does Crockett Medical Clinic Inc accept Medicare?
- Crockett Medical Clinic Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crockett Medical Clinic Inc?
- The authorized official listed on Crockett Medical Clinic Inc's NPPES record is Rita Croom, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crockett Medical Clinic Inc's NPI active?
- Yes — Crockett Medical Clinic Inc's NPI (1104839703) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.