Individual provider Active NPI

Kristin Bryson Summey, NP-C

  • Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1659530756
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN162508 Issued in GA
Practice address
2300 Bethelview Rd # 110-332
Cumming, GA 30040-9475
Phone
(006) 893-4318
Fax
(866) 283-2975
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN162508 GA Primary

Addresses

Primary practice location

2300 Bethelview Rd # 110-332
Cumming, GA 30040-9475

Mailing address

2300 Bethelview Rd # 110-332
Cumming, GA 30040-9475
Phone (800) 689-3431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000200 GA Practitioner - Nurse Practitioner 0446322358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN162508GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pingeton Consulting Service, Inc CurrentSince May 3, 2025 Accepting new patients
Harbin Clinic, LLC Past Accepting new patients
MC Medical LLC Nurse Practitioner Past Accepting new patients

Locations

2300 Bethelview Rd
Ste 110332
Cumming, GA 30040
Phone (800) 689-3431

13943 Highway 9 N
Milton, GA 30004

Organizations & group practices 3

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1659530756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BETHELVIEW RD # 110-332",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409475",
            "telephone_number": "800-689-3431",
            "fax_number": "866-283-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BETHELVIEW RD # 110-332",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409475",
            "telephone_number": "006-893-4318",
            "fax_number": "866-283-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMEY",
        "first_name": "KRISTIN",
        "middle_name": "BRYSON",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN162508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.