Charley Crockett
Physician Assistant · Jacksboro, TN
Charley Crockett is a physician assistant with a practice address in Jacksboro, Tennessee, and NPI 1376419960, issued on Oct 13, 2025. Check the license (Tennessee 6819, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Charley Crockett
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 6819 TN
Self-reported in NPPES; status is on the state search - Practice location
- 2702 Jacksboro Pike, Jacksboro, TN 37757
- Phone
- (423) 374-7775
- Enumerated
- Oct 13, 2025
- Record last updated
- Jan 14, 2026
- Fax
- (423) 374-7779
- Medicare enrollment
- Enrolled (PECOS I20251223001166); accepts Medicare assignment
- Medical or professional school
- Lincoln Memorial University Medical Department, 2025
- Entity
- Type 1 · individual
Also registered at 2702 Jacksboro Pike
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anthony Baird, PA-CPhysician Assistant1104346667
- Hannah Bunch, PAMedical Physician Assistant1366153207
- Elizabeth Carpenter, FNPFamily Nurse Practitioner1710791124
- Katherine Gresham, FNPFamily Nurse Practitioner1225652720
- Cara McCullah, RN, MSN, FNP-BCFamily Nurse Practitioner1497144968
- Olivia McKameyFamily Nurse Practitioner1568031169
Verify Charley Crockett in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license 6819Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Access Medical Clinic LLCJacksboro, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
3 physician assistant records list a practice address in Jacksboro
They are 3 of the 103 NPPES records with a practice address in Jacksboro, and 3,055 physician assistant records in Tennessee.
All 3 in Jacksboro → All 3,055 in Tennessee → Every provider in Jacksboro →
Other physician assistant records in Tennessee
- Katrina Aardema, PA-CGallatin, TN1679039010
- Anum Abbas, PAMemphis, TN1548048671
- Samir AbdeljawadNashville, TN1396674370
- Rojin Abdullah, PA-CNashville, TN1982292447
- Cecilia Abello, PA-CNashville, TN1760336101
- Jadie Abendroth, PA-CMemphis, TN1073815742
- Marina Abraham, PA-CNashville, TN1316696370
- Merielle AbreuThompsons Station, TN1467048876
- Amanda Absher, PA-CMaryville, TN1144430794
- Seth Achey, PABristol, TN1437213857
Common questions
What is Charley Crockett's NPI number?
Charley Crockett's National Provider Identifier (NPI) is 1376419960, issued on Oct 13, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Charley Crockett located?
The NPPES record lists a practice address at 2702 Jacksboro Pike, Jacksboro, TN, 37757. Phone: (423) 374-7775. Providers update this record themselves, so call before visiting.
How can I verify Charley Crockett's license?
NPPES lists Tennessee license number 6819, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.