Organization · Type 2 NPI

Amg - Livingston, LLC

Nurse Practitioner · Livingston, TN

NPI number 1902287097 Active

Practice location

500 W Main St
Livingston, TN 38570-1718

Call (931) 823-5681 Map

Fax (931) 823-8203

Mailing address

PO Box 973
Livingston, TN 38570-0973

Other practice locations

110 Doctors Dr, Celina, TN 38551-5092 · (931) 243-3860
4120 Bradford Hicks Dr, Livingston, TN 38570-2213 · (931) 823-5603
8401 Hwy One Eleven, Byrdstown, TN 38549-6031 · (931) 823-9970

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Geriatric Medicine (Family Medicine) Physician	207QG0300X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Pediatrics Physician	208000000X	None listed
Nurse Practitioner Primary	363L00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

14 other providers at this address

NPI record

NPI: 1902287097
Entity type: Organization (Type 2)
Issued: Jun 15, 2015
Last updated: Sep 19, 2025
Status: Active

Other names

<unavail>
Clay County Family Wellness · doing business as
Clay County Family Wellness · doing business as
Oasis Family Wellness · doing business as
The Livingston Clinic · doing business as
Upper Cumberland Center for Women · doing business as

Authorized official

Johnetta Traylor
Administrator
(502) 596-6063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902287097

Amg - Livingston, LLC's National Provider Identifier is 1902287097, issued on Jun 15, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Livingston, TN. The record was last updated on Sep 19, 2025.