Individual provider Active NPI

Summyji Groom, DNP, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1508427170
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-131786 Issued in AL
Practice address
1430 Gadsden Hwy Ste 116-618
Birmingham, AL 35235-3103
Phone
(256) 467-7279
Fax
(801) 683-1907
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0002375-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-131786 AL Primary

Addresses

Primary practice location

1430 Gadsden Hwy Ste 116-618
Birmingham, AL 35235-3103

Mailing address

1430 Gadsden Hwy Ste 116-618
Birmingham, AL 35235-3103
Phone (256) 467-7279

Other practice location 1

1312 17th St Ste 758
Denver, CO 80202-1508
Phone (205) 775-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN, CO, KY, NM, VT6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20250702003384 NY Practitioner - Nurse Practitioner 7618206087 Reassigns benefits to 1 organization
I20250708001258 MN Practitioner - Nurse Practitioner 7618206087 Reassigns benefits to 1 organization
I20250709004593 CO Practitioner - Nurse Practitioner 7618206087 Reassigns benefits to 1 organization
I20250716002060 KY Practitioner - Nurse Practitioner 7618206087 Reassigns benefits to 1 organization
I20251121001829 NM Practitioner - Nurse Practitioner 7618206087 Reassigns benefits to 1 organization
I20260407000176 VT Practitioner - Nurse Practitioner 7618206087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
C-APN.0002375-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 4, 2025 Accepting new patients
Optimal Mental Health Virtual Clinic, PLLC Psychiatric/Mental Health CurrentSince Aug 1, 2021 Accepting new patients

Locations

1430 Gadsden Hwy
Ste 116618
Birmingham, AL 35235
Phone (205) 775-0080

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 2

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1508427170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 GADSDEN HWY STE 116-618",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353103",
            "telephone_number": "256-467-7279",
            "fax_number": "801-683-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 GADSDEN HWY STE 116-618",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353103",
            "telephone_number": "256-467-7279",
            "fax_number": "801-683-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 17th St Ste 758",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802021508",
            "country_code": "US",
            "telephone_number": "205-775-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROOM",
        "first_name": "SUMMYJI",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0002375-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-131786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.