Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amg-Southern Tennessee LLC

Organization Surgery Physician · NPI 1093926404

Amg-Southern Tennessee LLC is a Surgery Physician in Winchester, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

83 Memorial Dr
Winchester, TN 37398-2401
Phone: (931) 967-3966
Fax: (931) 962-0373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1093926404
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAmg-Southern Tennessee LLC
Authorized official William Gracecy — Coo · (615) 372-8500
NPI enumeratedMay 25, 2007
Last updated in NPPESApril 20, 2008
Mailing address83 Memorial Dr, Winchester, TN 37398-2401

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