Active NPI
Summit Medical Group, PLLC
Doing business as Summit Medical Group at Northshore
- Family Medicine Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 41919
- Legal business name
- SUMMIT MEDICAL GROUP, PLLC
- Doing business as
- Summit Medical Group at Northshore
- Practice address
- 1924 Pinnacle Pointe Way Ste 100
Knoxville, TN 37922-3700 - Phone
- (865) 584-5762
- Fax
- (865) 693-7445
- NPI assigned
- Aug 19, 2010
- Last updated
- Dec 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ed Curtis
- Title
- Chief Administrative Officer
- Phone
- (865) 584-4747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41919 | TN | Primary |
Addresses
Primary practice location
1924 Pinnacle Pointe Way Ste 100
Knoxville, TN 37922-3700
Mailing address
1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747
Other names 1
- Summit Medical Group at Northshore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000793 | TN | Part B Supplier - Clinic/Group Practice | 2860396330 |
Receives reassigned benefits from 1,153 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1047406 | Summit Medical Group at Northshore | Provider-performed microscopy | Nov 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
1924 Pinnacle Pointe Way
Ste 100
Knoxville, TN 37922
Phone (865) 584-5762
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Medicine Physician
- Cleveland, TN
- NPI 1396979233
-
- Family Medicine Physician
- Sevierville, TN
- NPI 1801838578
-
- Family Medicine Physician
- Jefferson City, TN
- NPI 1104808906
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1154764041
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1992026827
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1467498097
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1811440357
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1780247262
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1932599297
-
- Internal Medicine Physician
- Powell, TN
- NPI 1497700207
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1376551572
-
- Family Medicine Physician
- Powell, TN
- NPI 1679571715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672099200000",
"number": "1033425780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 DICK LONAS RD UNIT 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091383",
"telephone_number": "865-584-4747",
"fax_number": "865-584-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 PINNACLE POINTE WAY STE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223700",
"telephone_number": "865-584-5762",
"fax_number": "865-693-7445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-19",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "ED",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "865-584-4747"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "41919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Medical Group at Northshore",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Summit Medical Group at Northshore",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
- Melodie Elyse Summers, RN
- Natalie Jill Summers
- Robyn Amanda Summers, LCSW
- Sarah Elizabeth Summers, APRN, PMHNP-BC
- Summit Medical Group, PLLC (Knoxville Pediatric Associates-Weisgarber)
- Summit Medical Group, PLLC (Tennessee Eye Care, a division of Summit Medical Group)
- Summit Medical Group, PLLC (Rheumatology Assoc. of East TN)
- Summit Medical Group, PLLC (Knoxville Pediatric Associates- Cross Park)
- Summit Medical Group, PLLC (Fountain City Family Physicians)
- Summit Medical Group, PLLC (Concord Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.