Active NPI
Summit Medical Group,PLLC
Doing business as Trinity Medical Associates
- Family Medicine Physician
- Knoxville, TN
National Provider Identifier
1285199109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUMMIT MEDICAL GROUP,PLLC
- Doing business as
- Trinity Medical Associates
- Practice address
- 280 Ft Sanders W Blvd Ste 101
Knoxville, TN 37922-3352 - Phone
- (865) 539-0270
- Fax
- (865) 539-6998
- NPI assigned
- Feb 5, 2019
- Last updated
- Jun 21, 2022
- Organization subpart
- Yes
- Parent organization
- SUMMIT MEDICAL GROUP,PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ed Curtis, CMPE,CEO
- Title
- Ceo
- Phone
- (865) 584-4747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
280 Ft Sanders W Blvd Ste 101
Knoxville, TN 37922-3352
Mailing address
1275 Dick Lonas Rd
Knoxville, TN 37909-1326
Phone (865) 584-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q054428 | Medicaid | TN |
Other names 1
- Trinity Medical Associates
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 |
|---|---|---|---|
| 44D0872713 | Trinity Medical Associates of Knoxville | Accreditation | Dec 22, 2027 |
National Provider Directory
National Provider Directory- Part of
- Summit Medical Group PL
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1497100564
-
- Pediatrics Physician
- Knoxville, TN
- NPI 1215983069
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1891151767
-
- Pediatric Nurse Practitioner
- Maryville, TN
- NPI 1558871608
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1770539512
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1083660880
-
- Acute Care Nurse Practitioner
- Sevierville, TN
- NPI 1285307900
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1437416716
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1174693212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655769600000",
"number": "1285199109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 DICK LONAS RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091326",
"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": "280 FT SANDERS W BLVD STE 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223352",
"telephone_number": "865-539-0270",
"fax_number": "865-539-6998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MEDICAL GROUP,PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUMMIT MEDICAL GROUP,PLLC",
"enumeration_date": "2019-02-05",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "ED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "865-584-4747",
"authorized_official_credential": "CMPE,CEO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q054428",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Medical Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Trinity Medical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
- Summit Medical Group, PLLC (Summit Express Clinic at Bearden Hill)
- Summit Medical Group, PLLC (Norwood Family Practice)
- Summit Medical Group,PLLC (Summit Sleep Services)
- Summit Medical Group,PLLC (SMG@Karm)
- Summit Medical Group,PLLC (Children's Faith Pediatrics)
- Summit Medical Group,PLLC (Summit Physical Therapy Service West)
- Summit Medical Group,PLLC (Pediatric Clinic)
- Summit View Health Management, Inc.
- Summit View Health Services LLC
- Summit View Health Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.