Individual provider Active NPI

Summer R Weary, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Cookeville, TN
National Provider Identifier
1134445992
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
726 Issued in TN
Practice address
109 W 6TH St
Cookeville, TN 38501-1721
Phone
(931) 559-3668
Fax
(931) 400-0664
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.003590 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 726 TN Primary

Addresses

Primary practice location

109 W 6TH St
Cookeville, TN 38501-1721

Mailing address

PO Box 1063
Cookeville, TN 38503-1063
Phone (931) 559-3668

Other identifiers 2

IdentifierTypeStateIssuer
36.003590OtherOHSTATE OF OHIO
726OtherTNTENNESSE STATE PODIATRIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120613000413 TN Practitioner - Podiatry 8921262411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Podiatry PLLCGroup PAC ID 5092067793, 2 clinicians

Practice addresses (Care Compare)

109 W 6TH St
Cookeville, TN 38501-1721
Phone (931) 559-3668

Hospital & facility affiliations

  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue140
Removal of skin lesions21
Removal of nail tissue415
Removal or shaving of skin growth54
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003590OHMDPodiatrist
726TNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Podiatry PLLC Podiatrist CurrentSince Jul 19, 2018 Accepting new patients
Apex Podiatry PLLC CurrentSince May 7, 2024 Accepting new patients

Locations

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

503 N Cedar Ave
Cookeville, TN 38501
Phone (931) 372-1746

109 W 6th St
Cookeville, TN 38501
Phone (931) 528-6945

467 N Whitney Ave
Cookeville, TN 38501
Phone (931) 528-5007

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1134445992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1063",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385031063",
            "telephone_number": "931-559-3668",
            "fax_number": "931-400-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 6TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011721",
            "telephone_number": "931-559-3668",
            "fax_number": "931-400-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEARY",
        "first_name": "SUMMER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003590",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO",
            "identifier": "36.003590",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSE STATE PODIATRIC LICENSE",
            "identifier": "726",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.