Summit Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUMMIT INTERNAL MEDICINE

Practice address

3025 Shrine Rd
Suite 290
Brunswick, GA 31520-4744

Phone

(912) 267-1026

Fax

(912) 265-5415

NPI assigned

Oct 2, 2006

Organization subpart

Yes

Parent organization

SUMMIT INTERNAL MEDICINEAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William James Laws, MD

Title

Ceo

Phone

(912) 267-1026

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GLYNN MEDICAL ASSOCIATES Doing business as

Part of

Summit Internal Medicin

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Wayne Heine, MD

  • Internal Medicine Physician
  • Brunswick, GA
  • NPI 1750397899
  NPD
• Tracey Renee Price, M.D

  • Internal Medicine Physician
  • Brunswick, GA
  • NPI 1558779348
  NPD
• Brandi Michelle Wynne, MD

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1316152770
  NPD
• Richard Neal Boswell, MD

  • Rheumatology Physician
  • Brunswick, GA
  • NPI 1700892874
  NPD (past)
• Randolph Marshall Baker, MD

  • Internal Medicine Physician
  • Palmyra, VA
  • NPI 1265448310
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1053404657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "address_2": "SUITE 290",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204744",
            "telephone_number": "912-267-1026",
            "fax_number": "912-265-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "address_2": "SUITE 290",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204744",
            "telephone_number": "912-267-1026",
            "fax_number": "912-265-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT INTERNAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT INTERNAL MEDICINE",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "LAWS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-267-1026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CI8306",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLYNN MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coleman David Sudduth Jr., M.D.
• Elizabeth J Sudduth, M.D.
• Michael James Sullivan, M.D.
• Janna Marie Summerall-Smith, M.D.
• Summit Dermatology & Laser Center, P.C.
• Summit Plastic Surgery
• Surf and Sand Pediatrics
• Surfside Kids Pediatric Dentistry P.C.
• Ralph Wade Swann Jr., MD
• Montana Swanson, DPT

• Internal Medicine Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.