OrganizationActive
Amg-Southern Tennessee LLC
NPI 1336294222 · Pediatrics Physician · Winchester, TN
Provider details
- NPI number
- 1336294222
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Amg-Southern Tennessee LLC
- Organization subpart
- Yes
- Authorized official
- Bill Gracey, Coo(615) 372-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Cardiology Physician2080P0202X
Allopathic & Osteopathic Physicians
Practice location
155 Hospital Rd
Suite E
Winchester, TN 37398-2494
Phone: (931) 962-0672
Fax: (931) 967-7817
Approximate (ZIP-level) locationGet directions
Mailing address
155 Hospital Rd
Winchester, TN 37398-2494
Other names (DBA / former)
- Doing business as
- Winchester Pediatrics
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2008-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.