NPIMap

Organization Active NPI

Summit Medical Group PLLC

Doing business as Summit Medical Group of Oak Ridge

  • Family Medicine Physician
  • Oak Ridge, TN
National Provider Identifier
1437238797
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29340 Issued in TN
Legal business name
SUMMIT MEDICAL GROUP PLLC
Doing business as
Summit Medical Group of Oak Ridge
Practice address
850 Briarcliff Ave
Oak Ridge, TN 37830
Phone
(865) 483-3172
Fax
(833) 908-2163
NPI assigned
Nov 6, 2006
Reactivated
Jul 9, 2008
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Ed A Curtis
Title
Chief Administrative Officer
Phone
(865) 584-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 29340 TN Primary

Addresses

Primary practice location

850 Briarcliff Ave
Oak Ridge, TN 37830

Mailing address

PO Box 26194
Belfast, ME 04915-2012
Phone (865) 584-4747

Other practice location 1

801 Oak Ridge Turnpike
Oak Ridge, TN 37830
Phone (865) 483-3172

Other names 1

  • Summit Medical Group of Oak Ridge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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
44D0311980Summit Medical Group of Oak Ridge850 Briarcliff Ave, Oak Ridge, TN 37830Provider-performed microscopySep 5, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 497

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.

View all 497

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1437238797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26194",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152012",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BRIARCLIFF AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-483-3172",
            "fax_number": "833-908-2163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Oak Ridge Turnpike",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "37830",
            "country_code": "US",
            "telephone_number": "865-483-3172",
            "fax_number": "865-483-8689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-15",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "A",
        "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": "TN",
            "license": "29340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Medical Group of Oak Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.