Individual provider Active NPI

Phillip Kyle Summers

  • Phlebology Physician
  • Chattanooga, TN
National Provider Identifier
1578095824
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
4771 Issued in TN
Practice address
1405 Cowart St Ste 321
Chattanooga, TN 37408-1179
Phone
(423) 551-8346
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 4771 TN Primary

Addresses

Primary practice location

1405 Cowart St Ste 321
Chattanooga, TN 37408-1179

Mailing address

1405 Cowart St Ste 321
Chattanooga, TN 37408-1179
Phone (423) 551-8346

Other identifiers 1

IdentifierTypeStateIssuer
4771OtherTNSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4771TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Vein Institute of Chattanooga, PLLC Phlebology Current Accepting new patients

Locations

1405 Cowart St
Ste 321
Chattanooga, TN 37408
Phone (205) 807-6721

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1578095824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 COWART ST STE 321",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081179",
            "telephone_number": "423-551-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 COWART ST STE 321",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081179",
            "telephone_number": "423-551-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "PHILLIP",
        "middle_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TN",
            "license": "4771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4771",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.