Provider Profile

Charley Crockett

Unclaimed Profile

About Charley Crockett

Charley Crockett is a physician assistant practicing in Jacksboro, TN. Charley trained at Lincoln Memorial University Medical Department, graduating in 2025.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Specialty

Physician Assistant (Primary)

Credentials & Licensing

TN license6819
NPI1376419960
NPI issued10/13/2025

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Charley Crockett specialize in?

Charley Crockett is a physician assistant in Jacksboro, TN. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Charley Crockett located?

Charley Crockett is listed at 2702 Jacksboro Pike, Jacksboro, TN 37757. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Charley Crockett's phone number?

The number on file is (423) 374-7775. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Charley Crockett's NPI number?

Charley Crockett's National Provider Identifier is 1376419960. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Charley Crockett train?

Charley Crockett attended Lincoln Memorial University Medical Department, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How long has Charley Crockett been practicing?

Charley Crockett has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Has Charley Crockett confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Charley Crockett. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.