Charley Crockett
Physician Assistant
About Charley Crockett
Charley Crockett is a female healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1376419960. Charley Crockett received her medical education at LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT, graduating in 2025.
Their primary practice is located at 2702 JACKSBORO PIKE, Jacksboro, Tennessee 37757. Patients can reach the office at (423) 374-7775. In addition to the primary location, Charley Crockett maintains 2 additional practice locations.
Charley Crockett is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Charley Crockett has been NPI-registered since 2025.
Key Metrics
Practice Locations
3
Doctor Details
Identity & Credentials
- NPI Number
- 1376419960
- Entity Type
- Individual
- First Name
- Charley
- Last Name
- Crockett
- Gender
- Female
- Medical School
- LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
- Graduation Year
- 2025
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 2702 JACKSBORO PIKE
- City
- Jacksboro
- State
- Tennessee
- ZIP
- 37757-4850
- Country
- United States
- Phone
- (423) 374-7775
Specialty & Taxonomy
- Primary Specialty
- Physician Assistant
- Classification
- Physician Assistant
- Taxonomy Code
- 363A00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 4196 HIGHWAY 62 412 STE A
- City
- HARDY
- State
- AR
- ZIP
- 725428002
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Charley Crockett's NPI number?
What does Charley Crockett specialize in?
Where is Charley Crockett located?
Does Charley Crockett accept Medicare?
Does Charley Crockett offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Charley Crockett is 1376419960.