Individual provider Active NPI

Jonathan Allen Summers, M.D.

  • Family Medicine Physician
  • Florence, AL
National Provider Identifier
1487745691
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD28080 Issued in AL
Practice address
1829 Darby Dr Ste a
Florence, AL 35630-2622
Phone
(256) 349-5496
Fax
(256) 349-5497
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD41411 TN
Family Medicine Physician 207Q00000X MD28080 AL Primary

Addresses

Primary practice location

1829 Darby Dr Ste a
Florence, AL 35630-2622

Mailing address

1829 Darby Dr Ste a
Florence, AL 35630-2622
Phone (256) 349-5496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20070908000066 AL Practitioner - Family Practice 0345333217 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28080ALMDFamily Medicine Physician
MD41411TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC CurrentSince May 1, 2020 Accepting new patients

Locations

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

6459 Highway 72
Killen, AL 35645
Phone (256) 272-0275

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1487745691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 DARBY DR STE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302622",
            "telephone_number": "256-349-5496",
            "fax_number": "256-349-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 DARBY DR STE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302622",
            "telephone_number": "256-349-5496",
            "fax_number": "256-349-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JONATHAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD41411",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD28080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.