Active NPI
Summyji Groom, DNP, RN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1-131786
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
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
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0002375-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Optimal Mental Health Virtual Clinic, PLLC | Psychiatric/Mental Health | Current | 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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
CO, KY, MN, NM, NY, Psychiatric/Mental Health, VT
-
- Psychiatric/Mental Health Nurse Practitioner
- Birmingham, AL
- NPI 1558034892
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.