Organization Active NPI

Summit Obstetrics and Women'S Health, PLLC

  • Obstetrics & Gynecology Physician
  • Hermitage, TN
National Provider Identifier
1215448303
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD17142 Issued in TN
Legal business name
SUMMIT OBSTETRICS AND WOMEN'S HEALTH, PLLC
Practice address
5653 Frist Blvd Ste 237
Hermitage, TN 37076-2063
Phone
(615) 883-9988
Fax
(855) 540-2520
NPI assigned
Oct 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Mrs. Michelle Morgan
Title
Office Manager
Phone
(615) 883-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD17142 TN Primary

Addresses

Primary practice location

5653 Frist Blvd Ste 237
Hermitage, TN 37076-2063

Mailing address

5653 Frist Blvd Ste 237
Hermitage, TN 37076-2063
Phone (615) 883-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180621000396 TN Part B Supplier - Clinic/Group Practice 2466707161 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, TN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0691619Summit Obstetrics and Women'S Health, PLLC5653 Frist Blvd, Suite 237, Hermitage, TN 37076Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5653 Frist Blvd
Ste 237
Hermitage, TN 37076
Phone (615) 883-9988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1215448303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD STE 237",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762063",
            "telephone_number": "615-883-9988",
            "fax_number": "855-540-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD STE 237",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762063",
            "telephone_number": "615-883-9988",
            "fax_number": "855-540-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT OBSTETRICS AND WOMEN'S HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-883-3660",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD17142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.