Individual provider Active NPI

Summerjoy Charity Gammage Enlow, DDS

  • Dentist
  • Nacogdoches, TX
National Provider Identifier
1063603371
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0023327 Issued in TX
Practice address
1329 N University Dr
Ste C1
Nacogdoches, TX 75961-4232
Phone
(936) 564-9730
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0023327 TX Primary

Addresses

Primary practice location

1329 N University Dr
Ste C1
Nacogdoches, TX 75961-4232

Mailing address

1329 N University Dr
Ste C1
Nacogdoches, TX 75961-4232
Phone (936) 564-9730

Other names 1

  • Dr. Summerjoy Charity Gammage Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000742 TX Order and Referring Only - DentistPractitioner - Dentist 1759683576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0023327TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1063603371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 N UNIVERSITY DR",
            "address_2": "STE C1",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614232",
            "telephone_number": "936-564-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 N UNIVERSITY DR",
            "address_2": "STE C1",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614232",
            "telephone_number": "936-564-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOW",
        "first_name": "SUMMERJOY",
        "middle_name": "CHARITY GAMMAGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0023327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMERJOY",
            "last_name": "GAMMAGE",
            "middle_name": "CHARITY",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.