Individual provider Active NPI

Garry Michael Summer, M. D.

  • Family Medicine Physician
  • Mayodan, NC
National Provider Identifier
1346219722
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200201010 Issued in NC
Practice address
6701B NC Highway 135
Mayodan, NC 27027-8487
Phone
(336) 635-8616
Fax
(336) 635-6868
NPI assigned
Mar 16, 2006
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200201010 NC Primary

Addresses

Primary practice location

6701B NC Highway 135
Mayodan, NC 27027-8487

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other practice location 1

165 Lowes Foods Dr
Lewisville, NC 27023-8258
Phone (336) 893-2270

Other practice location 2

1450 Matthews Township Pkwy Ste 450
Matthews, NC 28105-5343
Phone (704) 384-8480

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gsummer771820@direct.novanthealth.org
Direct Messaging Address gsummer220376@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000911 NC Practitioner - Family Practice 2365483351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

165 Lowes Foods Dr
Lewisville, NC 27023-8258
Phone (336) 893-2270

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 22, 2019 Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Dec 22, 2019 Accepting new patients
Allergycorp Group, LLC CurrentSince Jan 1, 2018 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

165 Lowes Foods Dr
Lewisville, NC 27023
Phone (336) 893-2270

6614 Shallowford Rd
Ste 100
Lewisville, NC 27023
Phone (336) 945-0277

1450 Matthews Township Pkwy
Ste 450
Matthews, NC 28105
Phone (704) 344-2220

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: gsummer220376@direct.unc.nchie.net

Organizations & group practices 6

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

Hospital & facility affiliations 9

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1346219722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701B NC HIGHWAY 135",
            "city": "MAYODAN",
            "state": "NC",
            "postal_code": "270278487",
            "telephone_number": "336-635-8616",
            "fax_number": "336-635-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Lowes Foods Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "NC",
            "postal_code": "270238258",
            "country_code": "US",
            "telephone_number": "336-893-2270",
            "fax_number": "336-893-2279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Matthews Township Pkwy Ste 450",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055343",
            "country_code": "US",
            "telephone_number": "704-384-8480",
            "fax_number": "704-384-8481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMER",
        "first_name": "GARRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200201010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsummer771820@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "165 Lowes Foods Dr",
            "city": "Lewisville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270238258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsummer220376@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6701B Nc Highway 135",
            "city": "Mayodan",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270278487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mayodan, NC

Sources for this page

Verify at the official NPI Registry.