Crockett Medical Clinic Inc

ActiveOrganizationFamily Medicine
NPI issued: August 14, 2006

Quick Facts

NPI Number
1104839703
TypeOrganization
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(731) 696-5401
StateTN

NPI Validation Status: Verified

Valid 10-digit NPI number (1104839703)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 14, 2006)
Data source: CMS NPPES

Provider Overview

CROCKETT MEDICAL CLINIC INC is a Family Medicine provider based in Alamo, TN who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104839703
Provider TypeOrganization
StatusActive
Enumeration DateAugust 14, 2006

Practice Location

CityAlamo
StateTN
ZIP Code38001
Phone(731) 696-5401

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateTN

Mailing Address

CityAlamo
StateTN
ZIP Code38001
Phone(731) 696-5401
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104839703 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104839703for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104839703 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Crockett Medical Clinic Inc's NPI number?
Crockett Medical Clinic Inc's NPI number is 1104839703, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Crockett Medical Clinic Inc's NPI currently active?
Yes, Crockett Medical Clinic Inc's NPI status is Active as of the latest CMS NPPES database updates.
What does Crockett Medical Clinic Inc specialize in?
Crockett Medical Clinic Inc specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Crockett Medical Clinic Inc practice?
Crockett Medical Clinic Inc practices in Alamo, TN 38001.
When was Crockett Medical Clinic Inc's NPI issued?
Crockett Medical Clinic Inc's NPI was issued on August 14, 2006.
What is Crockett Medical Clinic Inc's provider type?
Crockett Medical Clinic Inc is registered as an Organization under CMS NPI Type 2.