Summit Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUMMIT MEDICAL GROUP, PLLC

Doing business as

Sewell Family Practice, a division of Summit Medical Group

Practice address

341 Central Ave W
Jamestown, TN 38556-3515

Phone

(931) 879-9892

Fax

(833) 455-8834

NPI assigned

Sep 9, 2026

Organization subpart

Yes

Parent organization

SUMMIT MEDICAL GROUP, PLLCAs reported in NPPES

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

Authorized official

Name

Jennifer Raney

Title

Provider Enrollment Supervisor

Phone

(865) 584-4747

Specialties & licenses 1

Addresses

Other names 1

• Sewell Family Practice, a division of Summit Medical Group Doing business as

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1538079033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 CENTRAL AVE W",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563515",
            "telephone_number": "931-879-9892",
            "fax_number": "833-455-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 CENTRAL AVE W",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563515",
            "telephone_number": "931-879-9892",
            "fax_number": "833-455-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT MEDICAL GROUP, PLLC",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "865-584-4747"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sewell Family Practice, a division of Summit Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelvin Russell Smith II, PT, DPT
• Kristin Smith
• Misty Dawn Smith
• Travis Dean Smith
• State of Tennessee (Fentress County Health Department)
• Support Private Duty Care
• Support Private Duty Care
• Whitney Nicole Thomas
• Beth Ann Thompson, RN
• Emily Thompson, PHARMD

• Family Medicine Physician in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.