Summit Physician Group LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUMMIT PHYSICIAN GROUP LLP

Practice address

657 Helen Keller Blvd
Tuscaloosa, AL 35404-2983

Phone

(205) 343-6979

Fax

(205) 490-2374

NPI assigned

Aug 25, 2017

Last updated

May 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Oleksandra Kruhliakivska

Title

Business Manager

Phone

(205) 343-6979

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHBIDD

Practitioners 24

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.

• Charles Eugene Abney, M.D.

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1689760704
  Medicare reassignment Care Compare group NPD
• Karen Stacy Moore, MD

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1740384817
  Medicare reassignment Care Compare group NPD
• Justin Ray Bevel, MD

  • Family Medicine Physician
  • Northport, AL
  • NPI 1164669321
  Medicare reassignment NPD
• Jennifer L Burdette, M.D.

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1669530879
  Medicare reassignment NPD
• James Carson Byrd, MD

  • Family Medicine Physician
  • Prattville, AL
  • NPI 1134140734
  Medicare reassignment NPD
• Whitney Anne Cannon

  • Primary Care Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1548719420
  Medicare reassignment NPD
• Erica Reshae Day, M.D.

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1437488681
  Medicare reassignment NPD
• Haritha V Guttikonda, M.D.

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1912162504
  Medicare reassignment NPD
• Malcolm Rashad Hendricks, MD

  • Hospitalist Physician
  • Cullman, AL
  • NPI 1700823697

  Family Medicine

  Medicare reassignment NPD
• Jahana T. Hill, M.D.

  • Internal Medicine Physician
  • Tuscaloosa, AL
  • NPI 1811135213
  Medicare reassignment NPD
• Aaron Jasper, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1780132290
  Medicare reassignment NPD
• Jamie R. Lowther, MD

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1396955381
  Medicare reassignment NPD

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1104343581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 MCFARLAND BLVD N",
            "address_2": "PO BOX 189",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062212",
            "telephone_number": "205-343-6979",
            "fax_number": "205-490-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 HELEN KELLER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042983",
            "telephone_number": "205-343-6979",
            "fax_number": "205-490-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICIAN GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "KRUHLIAKIVSKA",
        "authorized_official_first_name": "OLEKSANDRA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "205-343-6979",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Patton Sullivan, CRNP
• Mary Linda Sullivan, DMD
• Ryan J Sullivan, M.D.
• John P Summerford, M.D.
• Ross Alexander Summerford, M.D.
• Dongmin Sun, MA, ATC
• Subramaniam Bala Sundar, MD
• Vijaya Sundar, MD
• Surgical Specialists of Alabama, PC
• Susan Goertz LLC (Tuscaloosa Family Therapy)

• Family Medicine Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.

Verify at the official NPI Registry.