Are you Charley Crockett? This profile is yours to edit: update your address, phone, photo and services.
Edit this profileCharley Crockett is a physician assistant practicing in Jacksboro, TN. Charley trained at Lincoln Memorial University Medical Department, graduating in 2025. This provider record is associated with NPI 1376419960.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
2702 JACKSBORO PIKE
Jacksboro, TN 37757
120 Tanner Pl
Clinton, TN 37716
Charley Crockett is a physician assistant in Jacksboro, TN. That is the designation recorded for this NPI in the federal registry.
NPI registry
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
The number on file is (423) 374-7775. Contact the office directly to confirm availability and scheduling.
NPI registry
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
Charley Crockett attended Lincoln Memorial University Medical Department, graduating in 2025. This comes from the CMS National Downloadable File.
CMS public data
Charley Crockett has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.
CMS public data
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
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