NPPES file of Aug 9, 2026

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.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1376419960
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
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 3,055 in Tennessee → Look up another NPI →

Also registered at 2702 Jacksboro Pike

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Anthony Baird, PA-CPhysician Assistant1104346667
  2. Hannah Bunch, PAMedical Physician Assistant1366153207
  3. Elizabeth Carpenter, FNPFamily Nurse Practitioner1710791124
  4. Katherine Gresham, FNPFamily Nurse Practitioner1225652720
  5. Cara McCullah, RN, MSN, FNP-BCFamily Nurse Practitioner1497144968
  6. Olivia McKameyFamily Nurse Practitioner1568031169

Verify Charley Crockett in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
    Search for license 6819    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Access Medical Clinic LLCJacksboro, TN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Charley Crockett among 3,055 physician assistant records in Tennessee

Charley Crockett is one of 3,055 physician assistant records with a practice address in Tennessee. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 88% of them.

  • NPI issued2025 · 88% of these records are older, 5% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2025 · median 2019 among the 2,030 with a school on file
  • Record last updated2026 · 30% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (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 3,055 in Tennessee → Every provider in Jacksboro → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Anthony Baird, PA-CJacksboro, TN 377571104346667
  2. Chelsea Thacker, PA-CJacksboro, TN 377571124867130
  3. Brittney Strunk, PAHuntsville, TN 377561467853549
  4. David BeauchampJefferson City, TN 377601316406499
  5. Katelyn BrummettHeiskell, TN 377541730724154
  6. Angela Burkhalter, PAJefferson City, TN 377601730646084
  7. Sarah Chapman, PA-CJefferson City, TN 377601376948927
  8. Lindsey Clyde, PA-CJefferson City, TN 377601215363841

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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.