Individual provider Active NPI

Summer Lee Bohman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Chattanooga, TN
National Provider Identifier
1093987695
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
56750 Issued in TN
Practice address
975 E 3Rd St
Chattanooga, TN 37403-2147
Phone
(615) 695-4977
NPI assigned
Mar 24, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35.094383 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4497 GA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 22175 MS
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 56750 TN Primary

Addresses

Primary practice location

975 E 3Rd St
Chattanooga, TN 37403-2147

Mailing address

5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 695-4977

Other practice location 1

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (678) 423-1550

Other practice location 2

5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 695-4977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160805000662 GA Practitioner - Pathology 5991952400 Reassigns benefits to 2 organizations
I20180111001531 TN Practitioner - Pathology 5991952400 Reassigns benefits to 1 organization
I20260114002542 NC Practitioner - Pathology 5991952400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical College of Ohio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

705 Dixie St
Carrollton, GA 30117-3818
Phone (615) 221-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.55 of 100Reported as group
Quality
72.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22175MSMDAnatomic Pathology & Clinical Pathology Physician
35.094383OHMDAnatomic Pathology & Clinical Pathology Physician
56750TNMDAnatomic Pathology & Clinical Pathology Physician
4497GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Dec 1, 2017 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Jun 27, 2016 Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

658 Grassmere Park
Nashville, TN 37211
Phone (866) 941-8398

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093987695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277542",
            "telephone_number": "615-695-4977",
            "fax_number": "615-263-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "615-695-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Milstead Ave NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123877",
            "country_code": "US",
            "telephone_number": "678-423-1550",
            "fax_number": "678-423-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 Virginia Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277542",
            "country_code": "US",
            "telephone_number": "615-695-4977",
            "fax_number": "615-263-3348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHMAN",
        "first_name": "SUMMER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.094383",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "4497",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "22175",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "56750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.