Summit Medical Group PLLC
Organization Active NPI Family Medicine Physician · Oak Ridge, TN
NPI 1437238797 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1437238797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 29340 (TN)
- Legal business name
- SUMMIT MEDICAL GROUP PLLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Ed A Curtis
- Title
- Chief Administrative Officer
- Phone
- (865) 584-4747
Practitioners 410
-
Robert R Casey, MD
-
Tara Jean Casey, APRN
-
Corrinne Leigh Curry, APRN
-
Wesley L Hayes, M.D.
-
Chad J Hughett, DO
-
Aaron Travis Jones, D.O.
-
Hasmukh Vanmali Kanabar, M.D.
-
Antoin H Mardini, MD
-
Angela M Opry, FNP
-
Maureen J. Peacock, FNP
-
Bridget B. Peterson, FNP
-
William W Ramsey, M.D.
-
Christina L. Shuey, FNP
-
Katlyn Smith, FNP
-
Sommer Ayers, FNP
-
Mishal Abdullah, M.D.
-
Jessica Deanne Albright, M.D.
-
Cheri R Allen, FNP
-
Abigail Marie Alley, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0311980 | Summit Medical Group of Oak Ridge | Provider-performed microscopy | Sep 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 29340 | TN | Yes |
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
- Summit Medical Group of Oak Ridge
Other providers in Oak Ridge, TN
- James O Strange
- Sharon E. Stratton
- Charles Matthew Street
- William Kenneth Strike
- Allison Stump
- Surgery Center of Oak Ridge, LLC
- Willow Bryce Sutton
- Leesa Diane Swaggerty
- Charles Swanson
- George Alden Swanson
All providers in Oak Ridge, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.