Summit Medical Group, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26243 Issued in TN

Legal business name

SUMMIT MEDICAL GROUP, PLLC

Doing business as

Concord Medical Center

Practice address

10215 Kingston Pike
Suite 100
Knoxville, TN 37922-3222

Phone

(865) 691-0733

Fax

(865) 690-7530

NPI assigned

Nov 6, 2006

Last updated

Nov 2, 2015By 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

Ed Curtis

Title

Chief Administrative Officer

Phone

(865) 584-4747

Specialties & licenses 1

Addresses

Other names 1

• Concord Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

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

Practitioners 10

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.

• George Andrew Adams, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1083860506
  NPD
• Hannah Cudzilo, BSN, MSN, FNP-C

  • Family Nurse Practitioner
  • Hixson, TN
  • NPI 1710353545
  NPD
• Megan Ashley Daniels, PA-C

  • Physician Assistant
  • Knoxville, TN
  • NPI 1801261870
  NPD
• Matthew Erickson Edwards, D.O.

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1588979470
  NPD
• Lauren C. Gallian, FNP

  • Family Nurse Practitioner
  • Lenoir City, TN
  • NPI 1790124592
  NPD
• Lyndsey C Parker, PA

  • Physician Assistant
  • Oak Ridge, TN
  • NPI 1306292834
  NPD
• Kristy Lynn Rucker, R.N., M.S.N., F.N.P,

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1184608895
  NPD
• Carabeth West Russell, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1861604183
  NPD
• Lori Sharp, P.A.

  • Physician Assistant
  • Knoxville, TN
  • NPI 1790735298
  NPD
• Serge Sicular, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1326276866
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1215016506",
    "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": "10215 KINGSTON PIKE",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223222",
            "telephone_number": "865-691-0733",
            "fax_number": "865-690-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "26243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 (Fountain City Family Physicians)
• 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)
• Summit Medical Group, PLLC (Knoxville Pediatric Associates- Clinch)

• Internal Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Internal Medicine Physician in Tennessee

• 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.

Verify at the official NPI Registry.