OrganizationActive
Amg Crockett LLC
NPI 1952780454 · Family Medicine Physician · Lawrenceburg, TN
Provider details
- NPI number
- 1952780454
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Casey Willis, Manager(931) 766-4574
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone: (931) 762-0531
Fax: (931) 762-0998
Street-level locationGet directions
Mailing address
1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Other names (DBA / former)
- Doing business as
- Southern Tennessee Primary Care
Registry dates
- Enumerated
- 2015-05-29
- Last updated
- 2015-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.