OrganizationActive
Amg-Crockett, LLC
NPI 1578836011 · Surgery Physician · Lawrenceburg, TN
Provider details
- NPI number
- 1578836011
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Clark, Division President(615) 372-8500
- License
- 48076 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1605 S Locust Ave
Suite 201
Lawrenceburg, TN 38464-4061
Phone: (931) 766-8525
Street-level locationGet directions
Mailing address
Po Box 248
Lawrenceburg, TN 38464-0248
Other names (DBA / former)
- Doing business as
- Lawrence County Surgical Services
Registry dates
- Enumerated
- 2012-02-14
- Last updated
- 2012-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.