Summit Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUMMIT MEDICAL GROUP, PLLC

Practice address

2212 Jacksboro Pike
La Follette, TN 37766-2903

Phone

(423) 566-8181

Fax

(423) 562-9692

NPI assigned

Nov 6, 2006

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

• Summit Medical Group of Campbell County 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 9

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

• Logan E Hyatt, PA

  • Medical Physician Assistant
  • Greeneville, TN
  • NPI 1114924222
  NPD
• Rebecca T Jackson, MD

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1689610628
  NPD
• Stephen P Lorino, MD

  • Internal Medicine Physician
  • Powell, TN
  • NPI 1649214073
  NPD
• Natasha Alexia Richesin, PA-C

  • Medical Physician Assistant
  • Athens, TN
  • NPI 1528731502
  NPD
• Thomas Wayne Robbins, DO

  • Family Medicine Physician
  • Jacksboro, TN
  • NPI 1942598305
  NPD
• Dalyn D Tate, PA

  • Medical Physician Assistant
  • Knoxville, TN
  • NPI 1962281469
  NPD
• Melody Camille Tharp, MD

  • Family Medicine Physician
  • Clinton, TN
  • NPI 1396743571
  NPD
• Brent Webb, D.O.

  • Family Medicine Physician
  • Jacksboro, TN
  • NPI 1336178748
  NPD
• Michael H West, MD

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1164466587
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1376622639",
    "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": "379091382",
            "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": "2212 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662903",
            "telephone_number": "423-566-8181",
            "fax_number": "423-562-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Medical Group of Campbell County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew D Stimson, CPED, CPOA, CFO
• Emily S Stiner, SP
• Janis K Stone
• Jason R Stooksbury, PT
• Brittany Sturgill, PTA
• Sunbridge Regency - Tennessee LLC
• Shazzmarie K Szekely, PT
• Mary Emily Tamer
• Alicia Noel Taylor, PA-C, MPAS
• Charlotte Taylor, CPNP/AGNP-C

• Family Medicine Physician in La Follette, TN
• Providers in La Follette, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.