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Charley Crockett

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Where to find Charley Crockett

About Charley Crockett

Charley 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.

Specialty

Credentials & Licensing

TN licenceAs reported to the NPI registry
No. 6819As reported
NPINational Provider Identifier
1376419960Issued 2025

As reported to the NPI registry ↗

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. Contact the office directly to confirm availability and scheduling.

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.

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