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

Samuel John Crutcher, MD

Individual provider Family Medicine Physician · NPI 1124150016

Samuel John Crutcher, MD is a Family Practice in Lebanon, Tennessee. Graduated from University of Utah School of Medicine in 2006, 20 years ago. Practices with Family Medical PC, a 13-clinician group and accepts Medicare assignment. Licensed in South Carolina and Tennessee.

Years since qualifying
20
Trained at
University of Utah School of Medicine
Licensed in
SC, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1407 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone: (615) 444-6203
Fax: (615) 444-6252
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45549 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 29024 (SC)

Record details

NPI number1124150016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address1407 W. Baddour Parkway, Lebanon, TN 37087-2513

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Family Medical Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lebanon