Daniel David Sumrok, M.D.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

21860 Issued in TN

Practice address

1894 Cedar St
1301 Primacy Parkway
MC Kenzie, TN 38201-2206

Phone

(731) 352-0603

Fax

(731) 352-0185

NPI assigned

Oct 21, 2005

Last updated

Jul 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar Recovery Center of Middle Tennessee, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbia, TN
  • NPI 1801345285
  Medicare reassignment NPD
• Daniel D Sumrok, MD

  dba UT Med Group

  • Family Medicine Physician
  • McKenzie, TN
  • NPI 1902966153
  Authorized official Same address or phone
• Cedar Recovery of Middle Tennessee, LLC

  dba CedarRx

  • Clinic Pharmacy
  • Lebanon, TN
  • NPI 1497458111
  NPD
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008
  NPD (past)
• Mt. Pelia Emergency Physicians

  • Emergency Medicine Physician
  • Martin, TN
  • NPI 1770532632
  NPD (past)
• Shiloh Emergency Physicians LLC

  • Emergency Medicine Physician
  • McKenzie, TN
  • NPI 1609825462
  NPD (past)
• 6330 Digital Way Ops LLC

  • Substance Abuse Rehabilitation Facility
  • Indianapolis, IN
  • NPI 1447095716
  NPD (past)
• Landmark Recovery of Kentucky LLC

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
  • NPI 1326630484
  NPD (past)
• Landmark Recovery of Kentucky LLC

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
  • NPI 1386392942
  NPD (past)
• Landmark Recovery of Kentucky LLC

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
  • NPI 1477914166
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1669461679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 CEDAR ST",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012206",
            "telephone_number": "731-352-0603",
            "fax_number": "731-352-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 CEDAR ST",
            "address_2": "1301 PRIMACY PARKWAY",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012206",
            "telephone_number": "731-352-0603",
            "fax_number": "731-352-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMROK",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000021860",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TN",
            "license": "21860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03488833",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207113001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3063617",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710068160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Scott L Spivey, OD
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• Jennifer Sturm, ATC
• T H Smith OD and Thomas K Smith OD PC
• Tester Chiropractic, PLLC (One Chiropractic)
• Tester Chiropratic (One Chiropractic)
• Ashley Tester, DC
• Tncoviddefense

• Addiction Medicine (Psychiatry & Neurology) Physician in McKenzie, TN
• Providers in McKenzie, TN by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.