Active NPI
Summit Medical Group, PLLC
Doing business as Fountain City Family Physicians
- Family Medicine Physician
- Knoxville, TN
National Provider Identifier
1194896787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUMMIT MEDICAL GROUP, PLLC
- Doing business as
- Fountain City Family Physicians
- Practice address
- 103 Midlake Dr
Upper Level
Knoxville, TN 37918-3039 - Phone
- (865) 687-1973
- Fax
- (865) 689-3445
- NPI assigned
- Nov 13, 2006
- Last updated
- Nov 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ed Curtis
- Title
- Chief Administrative Officer
- Phone
- (865) 584-4747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
103 Midlake Dr
Upper Level
Knoxville, TN 37918-3039
Mailing address
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
Other names 1
- Fountain City Family Physicians
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000793 | TN | Part B Supplier - Clinic/Group Practice | 2860396330 |
Receives reassigned benefits from 1,153 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0681146 | Fountain City Family Physicians | Provider-performed microscopy | Jul 14, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 14
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.
-
- Internal Medicine Physician
- Franklin, TN
- NPI 1851382568
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1447799606
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1699393843
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1427085356
-
- Physician Assistant
- Knoxville, TN
- NPI 1407380983
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1871054668
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1669409645
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1821732785
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1255375671
-
- Physician Assistant
- Oak Ridge, TN
- NPI 1407433519
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1922589795
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1518165745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446422400000",
"number": "1194896787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E WEISGARBER RD",
"address_2": "SUITE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092604",
"telephone_number": "865-584-4747",
"fax_number": "865-584-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MIDLAKE DR",
"address_2": "UPPER LEVEL",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379183039",
"telephone_number": "865-687-1973",
"fax_number": "865-689-3445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2015-11-02",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "ED",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "865-584-4747"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fountain City Family Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
- Summit Medical Group, PLLC (Knoxville Pediatric Associates-Weisgarber)
- Summit Medical Group, PLLC (Summit Medical Group at Northshore)
- Summit Medical Group, PLLC (Tennessee Eye Care, a division of Summit Medical Group)
- Summit Medical Group, PLLC (Rheumatology Assoc. of East TN)
- Summit Medical Group, PLLC (Knoxville Pediatric Associates- Cross Park)
- Summit Medical Group, PLLC (Concord Medical Center)
- Summit Medical Group, PLLC (Summit Express Clinic at Fountain City)
- Summit Medical Group, PLLC (Kenneth C. Reese, M.D.)
- Summit Medical Group, PLLC (Summit Medical Group at Fort Sanders)
- Summit Medical Group, PLLC (Shults Pediatrics Blount County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.