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

Crockett Medical Clinic Inc

Organization Family Medicine Physician · NPI 1104839703

Crockett Medical Clinic Inc is a Family Medicine Physician in Alamo, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

58 S Bells St
Alamo, TN 38001
Phone: (731) 696-5401
Fax: (731) 696-5404
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104839703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rita Croom — Cfo · (731) 696-4670
NPI enumeratedAugust 14, 2006
Last updated in NPPESAugust 1, 2025
Certification dateJuly 7, 2025
Mailing address58 S. Bells St, Alamo, TN 38001

Other providers in Alamo